14D0962056 CLIA NUMBER - SURGICAL SPECIALTY CENTER LTD

Laboratory Demographics

  • CLIA Code: 14D0962056
  • Facility Name: SURGICAL SPECIALTY CENTER LTD
  • Facility Address: 6043 W BELMONT AVE
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 745-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY J. BETMAN DPM
  • NPI Number: 1417028879
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0962056
LAB Type Physician Office
Facility Name SURGICAL SPECIALTY CENTER LTD
Street 6043 W BELMONT AVE
City CHICAGO
State IL
ZIP 60634
Phone 773 745-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director JEFFREY J. BETMAN DPM

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