14D2162530 CLIA NUMBER - N M G - ST CHARLES IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2162530
  • Facility Name: N M G - ST CHARLES IMMEDIATE CARE
  • Facility Address: 2900 FOXFIELD RD
    ST CHARLES, IL
    ZIP 60174
  • Facility Phone: 630 315-6930
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW OLEKSYN
  • NPI Number: 1710370804
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2162530
LAB Type Physician Office
Facility Name N M G - ST CHARLES IMMEDIATE CARE
Street 2900 FOXFIELD RD
City ST CHARLES
State IL
ZIP 60174
Phone 630 315-6930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director ANDREW OLEKSYN

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