14D2170590 CLIA NUMBER - NAPERVILLE PSYCHIATRIC VENTURES LINDEN OAKS HOSP

Laboratory Demographics

CLIA Number: 14D2170590

Facility Name: NAPERVILLE PSYCHIATRIC VENTURES LINDEN OAKS HOSP

Facility Address:
3805 E MAIN ST - STE M
ST CHARLES, IL
ZIP 60174
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Facility Phone Number: 630 646-5420

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1184998023

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	14D2170590
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	NAPERVILLE PSYCHIATRIC VENTURES LINDEN OAKS HOSP
Street	3805 E MAIN ST - STE M
City	ST CHARLES
State	IL
ZIP	60174
Phone	630 646-5420
CertificateType	4
CertificateEffectiveDate	8/14/2023
CertificateExpirationDate	8/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024