14D2245648 CLIA NUMBER - WILLIAM M BRENNAN JR DDS PC

Laboratory Demographics

  • CLIA Code: 14D2245648
  • Facility Name: WILLIAM M BRENNAN JR DDS PC
  • Facility Address: 5133 WASHINGTON ST - STE 4
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 630 969-4645
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM M. BRENNAN JR
  • NPI Number: 1235142746
  • Taxonomy: 122300000X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2245648
LAB Type Practitioner Other
Facility Name WILLIAM M BRENNAN JR DDS PC
Street 5133 WASHINGTON ST - STE 4
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 969-4645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Practitioner Other
Lab Director WILLIAM M. BRENNAN JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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