14D0892358 CLIA NUMBER - INGALLS SAME DAY SURGERY

Laboratory Demographics

  • CLIA Code: 14D0892358
  • Facility Name: INGALLS SAME DAY SURGERY
  • Facility Address: 6701 159TH STREET
    TINLEY PARK, IL
    ZIP 60477
  • Facility Phone: 708 429-0222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ZACHARY W. WRIGHT
  • NPI Number: 1851318521
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D0892358
LAB Type Ambulatory Surgery Center
Facility Name INGALLS SAME DAY SURGERY
Street 6701 159TH STREET
City TINLEY PARK
State IL
ZIP 60477
Phone 708 429-0222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Ambulatory Surgery Center
Lab Director ZACHARY W. WRIGHT

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