14D2171737 CLIA NUMBER - EEMG UROLOGY NAPERVILLE

Laboratory Demographics

CLIA Number: 14D2171737

Facility Name: EEMG UROLOGY NAPERVILLE

Facility Address:
100 SPALDING DR - STE 110
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 331 221-5376

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457493454

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2171737
LAB Type	Physician Office
Facility Name	EEMG UROLOGY NAPERVILLE
Street	100 SPALDING DR - STE 110
City	NAPERVILLE
State	IL
ZIP	60540
Phone	331 221-5376
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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