14D2253177 CLIA NUMBER - EDWARD MEDICAL GROUP 14

Laboratory Demographics

  • CLIA Code: 14D2253177
  • Facility Name: EDWARD MEDICAL GROUP 14
  • Facility Address: 2007 95TH ST - STE 112
    NAPERVILLE, IL
    ZIP 60564
  • Facility Phone: (331) 221-5376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS TRAN
  • NPI Number: 1154666766
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2253177
LAB Type Physician Office
Facility Name EDWARD MEDICAL GROUP 14
Street 2007 95TH ST - STE 112
City NAPERVILLE
State IL
ZIP 60564
Phone 3312215376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2026
Certificate Expiration Date 2/16/2028
Facility Type Physician Office
Lab Director DOUGLAS TRAN

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This page was last updated on: 5/18/2026