14D2158034 CLIA NUMBER - DUPAGE MEDICAL GROUP - JOLIET EYE

Laboratory Demographics

  • CLIA Code: 14D2158034
  • Facility Name: DUPAGE MEDICAL GROUP - JOLIET EYE
  • Facility Address: 330 N MADISON ST - STE 202
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 630 322-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANURAG GUPTA M D
  • NPI Number: 1558509927
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2158034
LAB Type Physician Office
Facility Name DUPAGE MEDICAL GROUP - JOLIET EYE
Street 330 N MADISON ST - STE 202
City JOLIET
State IL
ZIP 60435
Phone 630 322-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director ANURAG GUPTA M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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