14D0717532 CLIA NUMBER - ILLINOIS CANCER SPECIALISTS

Laboratory Demographics

  • CLIA Code: 14D0717532
  • Facility Name: ILLINOIS CANCER SPECIALISTS
  • Facility Address: 880 W CENTRAL RD STE 8200
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 847 259-4482
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: RANDY RICH
  • NPI Number: 1568836070
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 14D0717532
LAB Type Physician Office
Facility Name ILLINOIS CANCER SPECIALISTS
Street 880 W CENTRAL RD STE 8200
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 259-4482
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director RANDY RICH

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