14D2126323 CLIA NUMBER - DIABETES & ENDOCRINOLOGY GROUP SC

Laboratory Demographics

CLIA Number: 14D2126323

Facility Name: DIABETES & ENDOCRINOLOGY GROUP SC

Facility Address:
201 E OGDEN AVE, STE 26
HINSDALE, IL
ZIP 60521
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Facility Phone Number: 630 323-2455

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518406388

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	14D2126323
LAB Type	Physician Office
Facility Name	DIABETES & ENDOCRINOLOGY GROUP SC
Street	201 E OGDEN AVE, STE 26
City	HINSDALE
State	IL
ZIP	60521
Phone	630 323-2455
CertificateType	4
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024