14D2179625 CLIA NUMBER - SUBURBAN PHYSICIANS S C

Laboratory Demographics

  • CLIA Code: 14D2179625
  • Facility Name: SUBURBAN PHYSICIANS S C
  • Facility Address: 4075 FOX VALLEY CENTER DR - UNIT 3
    AURORA, IL
    ZIP 60504
  • Facility Phone: 630 978-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASMA BANO M D
  • NPI Number: 1376612630
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2179625
LAB Type Physician Office
Facility Name SUBURBAN PHYSICIANS S C
Street 4075 FOX VALLEY CENTER DR - UNIT 3
City AURORA
State IL
ZIP 60504
Phone 630 978-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director ASMA BANO M D

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