14D0991118 CLIA NUMBER - KENDALL POINTE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D0991118
  • Facility Name: KENDALL POINTE SURGERY CENTER LLC
  • Facility Address: 100 WEST 5TH STREET
    OSWEGO, IL
    ZIP 60543
  • Facility Phone: 630 449-0085
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL COULSON D O
  • NPI Number: 1851317614
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0991118
LAB Type Ambulatory Surgery Center
Facility Name KENDALL POINTE SURGERY CENTER LLC
Street 100 WEST 5TH STREET
City OSWEGO
State IL
ZIP 60543
Phone 630 449-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL COULSON D O

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