14D2194948 CLIA NUMBER - DU PAGE MEDICAL GROUP - RCK RADIOLOGY

Laboratory Demographics

  • CLIA Code: 14D2194948
  • Facility Name: DU PAGE MEDICAL GROUP - RCK RADIOLOGY
  • Facility Address: 808 RICKERT DR - STE 101
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 545-7880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJIT SHETTY M D
  • NPI Number: 1093953465
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2194948
LAB Type Physician Office
Facility Name DU PAGE MEDICAL GROUP - RCK RADIOLOGY
Street 808 RICKERT DR - STE 101
City NAPERVILLE
State IL
ZIP 60540
Phone 630 545-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director RAJIT SHETTY M D

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