14D2167840 CLIA NUMBER - FUTURE DIAGNOSTICS GROUP

Laboratory Demographics

  • CLIA Code: 14D2167840
  • Facility Name: FUTURE DIAGNOSTICS GROUP
  • Facility Address: 254 REPUBLIC AVE
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 730-3344
  • Facility Type: Other - MEDICAL IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: SARODE PUNDALEEKA M D
  • NPI Number: 1437231560
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2167840
LAB Type Other - MEDICAL IMAGING CENTER
Facility Name FUTURE DIAGNOSTICS GROUP
Street 254 REPUBLIC AVE
City JOLIET
State IL
ZIP 60435
Phone 815 730-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Other - MEDICAL IMAGING CENTER
Lab Director SARODE PUNDALEEKA M D

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