14D2218887 CLIA NUMBER - NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D2218887
  • Facility Name: NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP
  • Facility Address: 1850 GATEWAY DR
    SYCAMORE, IL
    ZIP 60178
  • Facility Phone: 815 766-3875
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID H. SUI
  • NPI Number: 1962655522
  • Taxonomy: 235500000X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 14D2218887
LAB Type Physician Office
Facility Name NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP
Street 1850 GATEWAY DR
City SYCAMORE
State IL
ZIP 60178
Phone 815 766-3875
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director DAVID H. SUI

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