14D2134893 CLIA NUMBER - ELMHURST MEMORIAL HEALTHCARE

Laboratory Demographics

CLIA Number: 14D2134893

Facility Name: ELMHURST MEMORIAL HEALTHCARE

Facility Address:
755 N YORK ROAD
ELMHURST, IL
ZIP 60126
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Facility Phone Number: (331) 221-6685

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1316312879

Taxonomy: 1223S0112X - Dentist
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

CLIA Record

Field Name	Field Value
CLIA Number	14D2134893
LAB Type	PHYSICIAN OFFICE
Facility Name	ELMHURST MEMORIAL HEALTHCARE
Street	755 N YORK ROAD
City	ELMHURST
State	IL
ZIP	60126
Phone	(331) 221-6685

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This page was last updated on: 5/11/2023