14D2147733 CLIA NUMBER - GATEWAY SPINE & PAIN PHYSICIANS

Laboratory Demographics

  • CLIA Code: 14D2147733
  • Facility Name: GATEWAY SPINE & PAIN PHYSICIANS
  • Facility Address: 329 REMINGTON BLVD
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 226-1130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN HONG M D
  • NPI Number: 1104013473
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2147733
LAB Type Physician Office
Facility Name GATEWAY SPINE & PAIN PHYSICIANS
Street 329 REMINGTON BLVD
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 226-1130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director JOHN HONG M D

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This page was last updated on: 9/29/2025