14D2174577 CLIA NUMBER - DUPAGE MEDICAL GROUP - M W G LAMONT

Laboratory Demographics

  • CLIA Code: 14D2174577
  • Facility Name: DUPAGE MEDICAL GROUP - M W G LAMONT
  • Facility Address: 1270 FRANCISCAN DR
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 630 686-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHMAWATI SIH M D
  • NPI Number: 1588097638
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2174577
LAB Type Physician Office
Facility Name DUPAGE MEDICAL GROUP - M W G LAMONT
Street 1270 FRANCISCAN DR
City LEMONT
State IL
ZIP 60439
Phone 630 686-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director RAHMAWATI SIH M D

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