14D2153825 CLIA NUMBER - NORTHWESTERN MEDICINE - R M G

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CLIA Record

Field Name Field Value
CLIA Number 14D2153825
LAB Type Physician Office
Facility Name NORTHWESTERN MEDICINE - R M G
Street 472 BRIARGATE DR
City SOUTH ELGIN
State IL
ZIP 60177
Phone 630 315-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director GINA SONG M D

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