14D1004073 CLIA NUMBER - CASTLE SURGICENTER LLC (DBA) RUSH-COPLEY SURGICENTER LLC

Laboratory Demographics

  • CLIA Code: 14D1004073
  • Facility Name: CASTLE SURGICENTER LLC (DBA) RUSH-COPLEY SURGICENTER LLC
  • Facility Address: 2111 OGDEN AVENUE
    AURORA, IL
    ZIP 60504
  • Facility Phone: 630 499-4721
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT M. O CONNOR MD
  • NPI Number: 1962959296
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1004073
LAB Type Ambulatory Surgery Center
Facility Name CASTLE SURGICENTER LLC (DBA) RUSH-COPLEY SURGICENTER LLC
Street 2111 OGDEN AVENUE
City AURORA
State IL
ZIP 60504
Phone 630 499-4721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Ambulatory Surgery Center
Lab Director SCOTT M. O CONNOR MD

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