14D0866884 CLIA NUMBER - OAK BROOK SURGICAL CENTRE, INC

Laboratory Demographics

  • CLIA Code: 14D0866884
  • Facility Name: OAK BROOK SURGICAL CENTRE, INC
  • Facility Address: 2425 W 22ND ST, STE 101
    OAK BROOK, IL
    ZIP 60523
  • Facility Phone: 630 990-2212
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIANOOSH JAFARI, MD
  • NPI Number: 1881705937
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D0866884
LAB Type Ambulatory Surgery Center
Facility Name OAK BROOK SURGICAL CENTRE, INC
Street 2425 W 22ND ST, STE 101
City OAK BROOK
State IL
ZIP 60523
Phone 630 990-2212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director KIANOOSH JAFARI, MD

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