14D2324101 CLIA NUMBER - AMERICAN DIABETES ASSOCIATION CAMP CONFIDENCE SW

Laboratory Demographics

  • CLIA Code: 14D2324101
  • Facility Name: AMERICAN DIABETES ASSOCIATION CAMP CONFIDENCE SW
  • Facility Address: 711 59TH ST
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 800 342-2383
  • Facility Type: Other - SUMMER CAMP
  • Facility Type: Waiver
  • Lab Director: BRIAN BAMBERGER
  • NPI Number: 1235176785
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2324101
LAB Type Other - SUMMER CAMP
Facility Name AMERICAN DIABETES ASSOCIATION CAMP CONFIDENCE SW
Street 711 59TH ST
City DOWNERS GROVE
State IL
ZIP 60515
Phone 800 342-2383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Other - SUMMER CAMP
Lab Director BRIAN BAMBERGER

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