14D0877152 CLIA NUMBER - HOSPITAL PLAZA FOOT & ANKLE SC

Laboratory Demographics

CLIA Number: 14D0877152

Facility Name: HOSPITAL PLAZA FOOT & ANKLE SC

Facility Address:
1228 W OGDEN AVE
DOWNERS GROVE, IL
ZIP 60515
Get Directions

Facility Phone Number: 630 810-9966

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1699367847

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	14D0877152
LAB Type	Physician Office
Facility Name	HOSPITAL PLAZA FOOT & ANKLE SC
Street	1228 W OGDEN AVE
City	DOWNERS GROVE
State	IL
ZIP	60515
Phone	630 810-9966
CertificateType	2
CertificateEffectiveDate	6/9/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024