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

Laboratory Demographics

  • CLIA Code: 14D2267773
  • Facility Name: ADVENT HEALTH MEDICAL GROUP BOLINGBROOK #4
  • Facility Address: 396 REMINGTON BLVD - STE 380
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 224 273-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR S. PETTIGREW
  • NPI Number: 1093912032
  • Taxonomy: 282N00000X - General Acute Care Hospital

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director ARTHUR S. PETTIGREW

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