14D2289656 CLIA NUMBER - WILLOWBROOK CLINICS & MEDICAL CENTER SC

Laboratory Demographics

  • CLIA Code: 14D2289656
  • Facility Name: WILLOWBROOK CLINICS & MEDICAL CENTER SC
  • Facility Address: 6900 S MADISON ST - STE 101
    WILLOWBROOK, IL
    ZIP 60527
  • Facility Phone: 630 986-1177
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANUJ JAIN
  • NPI Number: 1033214531
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2289656
LAB Type Physician Office
Facility Name WILLOWBROOK CLINICS & MEDICAL CENTER SC
Street 6900 S MADISON ST - STE 101
City WILLOWBROOK
State IL
ZIP 60527
Phone 630 986-1177
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director ANUJ JAIN

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