14D1001080 CLIA NUMBER - ALGONQUIN ROAD SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 14D1001080
  • Facility Name: ALGONQUIN ROAD SURGERY CENTER
  • Facility Address: 2550 ALGONQUIN ROAD
    LAKE IN THE HILLS, IL
    ZIP 60156
  • Facility Phone: 847 458-1246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: YOUMAN HAMWI
  • NPI Number: 1558344846
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1001080
LAB Type Ambulatory Surgery Center
Facility Name ALGONQUIN ROAD SURGERY CENTER
Street 2550 ALGONQUIN ROAD
City LAKE IN THE HILLS
State IL
ZIP 60156
Phone 847 458-1246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Ambulatory Surgery Center
Lab Director YOUMAN HAMWI

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