14D0939095 CLIA NUMBER - DIGESTIVE HEALTH ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 14D0939095
  • Facility Name: DIGESTIVE HEALTH ASSOCIATES PC
  • Facility Address: 1715 NORTH DIVISION ST
    MORRIS, IL
    ZIP 60450
  • Facility Phone: 815 942-1550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD M. ROTNICKI
  • NPI Number: 1831369800
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0939095
LAB Type Physician Office
Facility Name DIGESTIVE HEALTH ASSOCIATES PC
Street 1715 NORTH DIVISION ST
City MORRIS
State IL
ZIP 60450
Phone 815 942-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director RICHARD M. ROTNICKI

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This page was last updated on: 6/4/2025