14D0418728 CLIA NUMBER - ASSOCIATED UROLOGICAL SPECIALISTS LL

Laboratory Demographics

  • CLIA Code: 14D0418728
  • Facility Name: ASSOCIATED UROLOGICAL SPECIALISTS LL
  • Facility Address: 2850 W 95TH ST STE 106
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 422-2242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AARON BERGER
  • NPI Number: 1306987896
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 14D0418728
LAB Type Physician Office
Facility Name ASSOCIATED UROLOGICAL SPECIALISTS LL
Street 2850 W 95TH ST STE 106
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 422-2242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director AARON BERGER

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