14D0991698 CLIA NUMBER - AIDEN CENTER FOR DAY SURGERY LLC

Laboratory Demographics

CLIA Number: 14D0991698

Facility Name: AIDEN CENTER FOR DAY SURGERY LLC

Facility Address:
1580 WEST LAKE STREET
ADDISON, IL
ZIP 60101
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Facility Phone Number: 630 285-7000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1922248517

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0991698
LAB Type	Ambulatory Surgery Center
Facility Name	AIDEN CENTER FOR DAY SURGERY LLC
Street	1580 WEST LAKE STREET
City	ADDISON
State	IL
ZIP	60101
Phone	630 285-7000
CertificateType	4
CertificateEffectiveDate	9/26/2023
CertificateExpirationDate	9/25/2025
FacilityType	Waiver

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