14D0896563 CLIA NUMBER - NOVAMED SURG CTR CHICAGO-NORTHSHORE LLC

Laboratory Demographics

CLIA Number: 14D0896563

Facility Name: NOVAMED SURG CTR CHICAGO-NORTHSHORE LLC

Facility Address:
3034 W PETERSON
CHICAGO, IL
ZIP 60659
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Facility Phone Number: 773 973-7432

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447255799

Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

CLIA Record

Field Name	Field Value
CLIA Number	14D0896563
LAB Type	Physician Office
Facility Name	NOVAMED SURG CTR CHICAGO-NORTHSHORE LLC
Street	3034 W PETERSON
City	CHICAGO
State	IL
ZIP	60659
Phone	773 973-7432
CertificateType	4
CertificateEffectiveDate	1/12/2023
CertificateExpirationDate	1/11/2025
FacilityType	Waiver

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