14D0879701 CLIA NUMBER - NAPERVILLE SURGICAL CENTRE

Laboratory Demographics

  • CLIA Code: 14D0879701
  • Facility Name: NAPERVILLE SURGICAL CENTRE
  • Facility Address: 1263 RICKERT DR
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 305-3300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL COULSON
  • NPI Number: 1164584066
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0879701
LAB Type Ambulatory Surgery Center
Facility Name NAPERVILLE SURGICAL CENTRE
Street 1263 RICKERT DR
City NAPERVILLE
State IL
ZIP 60540
Phone 630 305-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL COULSON

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