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14D2267773 CLIA NUMBER - ADVENT HEALTH MEDICAL GROUP BOLINGBROOK #4

Laboratory Demographics

CLIA Number: 14D2267773

Facility Name: ADVENT HEALTH MEDICAL GROUP BOLINGBROOK #4

Facility Address:
396 REMINGTON BLVD - STE 380
BOLINGBROOK, IL
ZIP 60440
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Facility Phone Number: 224 273-4000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1093912032

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 14D2267773
LAB Type Physician Office
Facility Name ADVENT HEALTH MEDICAL GROUP BOLINGBROOK #4
Street 396 REMINGTON BLVD - STE 380
City BOLINGBROOK
State IL
ZIP 60440
Phone 224 273-4000
CertificateType 4
CertificateEffectiveDate 8/31/2022
CertificateExpirationDate 8/30/2024
FacilityType Waiver

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