14D0879778 CLIA NUMBER - MIDWEST CENTER FOR DAY SURGERY

Laboratory Demographics

CLIA Number: 14D0879778

Facility Name: MIDWEST CENTER FOR DAY SURGERY

Facility Address:
3811 HIGHLAND AVE
DOWNERS GROVE, IL
ZIP 60515
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Facility Phone Number: 630 852-9300

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1376605279

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0879778
LAB Type	Ambulatory Surgery Center
Facility Name	MIDWEST CENTER FOR DAY SURGERY
Street	3811 HIGHLAND AVE
City	DOWNERS GROVE
State	IL
ZIP	60515
Phone	630 852-9300
CertificateType	4
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Waiver

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