14D2153912 CLIA NUMBER - LINDEN OAKS MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2153912
  • Facility Name: LINDEN OAKS MEDICAL GROUP
  • Facility Address: 3329 75TH ST - STE 200
    WOODRIDGE, IL
    ZIP 60517
  • Facility Phone: 630 646-6540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER J. WHANG M D
  • NPI Number: 1710938295
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2153912
LAB Type Physician Office
Facility Name LINDEN OAKS MEDICAL GROUP
Street 3329 75TH ST - STE 200
City WOODRIDGE
State IL
ZIP 60517
Phone 630 646-6540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director WALTER J. WHANG M D

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