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

Laboratory Demographics

CLIA Number: 14D1004073

Facility Name: CASTLE SURGICENTER LLC (DBA) RUSH-COPLEY SURGICENTER LLC

Facility Address:
2111 OGDEN AVENUE
AURORA, IL
ZIP 60504
Get Directions

Facility Phone Number: 630 499-4721

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1962959296

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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