14D0900829 CLIA NUMBER - GREATER CHICAGO UROLOGY (DBA) METRO CHICAGO SURGICAL ONCOLOGY L L C

Laboratory Demographics

  • CLIA Code: 14D0900829
  • Facility Name: GREATER CHICAGO UROLOGY (DBA) METRO CHICAGO SURGICAL ONCOLOGY L L C
  • Facility Address: 3201 OLD GLENVIEW RD STE 130
    WILMETTE, IL
    ZIP 60091
  • Facility Phone: 847 673-6505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL R. FRIEDMAN MD
  • NPI Number: 1710298542
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0900829
LAB Type Physician Office
Facility Name GREATER CHICAGO UROLOGY (DBA) METRO CHICAGO SURGICAL ONCOLOGY L L C
Street 3201 OLD GLENVIEW RD STE 130
City WILMETTE
State IL
ZIP 60091
Phone 847 673-6505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director NEIL R. FRIEDMAN MD

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