14D0930516 CLIA NUMBER - INNOVIA SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 14D0930516
  • Facility Name: INNOVIA SURGERY CENTER, LLC
  • Facility Address: 203 E IRVING PARK RD
    WOOD DALE, IL
    ZIP 60191
  • Facility Phone: 630 921-9722
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VERA SCHMIDT
  • NPI Number: 1023153160
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0930516
LAB Type Ambulatory Surgery Center
Facility Name INNOVIA SURGERY CENTER, LLC
Street 203 E IRVING PARK RD
City WOOD DALE
State IL
ZIP 60191
Phone 630 921-9722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Ambulatory Surgery Center
Lab Director VERA SCHMIDT

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