14D2254400 CLIA NUMBER - NAPERVILLE FAMILY CLINIC, INC

Laboratory Demographics

CLIA Number: 14D2254400

Facility Name: NAPERVILLE FAMILY CLINIC, INC

Facility Address:
1831 BAY SCOTT CIRCLE DR - STE 109
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 515 991-7370

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720658248

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D2254400
LAB Type	Physician Office
Facility Name	NAPERVILLE FAMILY CLINIC, INC
Street	1831 BAY SCOTT CIRCLE DR - STE 109
City	NAPERVILLE
State	IL
ZIP	60540
Phone	515 991-7370
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024