14D2231891 CLIA NUMBER - CENTRAL DUPAGE PHYSICAL MEDICINE

Laboratory Demographics

  • CLIA Code: 14D2231891
  • Facility Name: CENTRAL DUPAGE PHYSICAL MEDICINE
  • Facility Address: 798 ARMY TRAIL RD
    CAROL STREAM, IL
    ZIP 60188
  • Facility Phone: 630 233-8343
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP F. BURRER M D
  • NPI Number: 1528117090
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 14D2231891
LAB Type Comp. Outpatient Rehab Facility
Facility Name CENTRAL DUPAGE PHYSICAL MEDICINE
Street 798 ARMY TRAIL RD
City CAROL STREAM
State IL
ZIP 60188
Phone 630 233-8343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director PHILLIP F. BURRER M D

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