14D1022708 CLIA NUMBER - CENTER FOR DIGESTIVE HEALTH

Laboratory Demographics

  • CLIA Code: 14D1022708
  • Facility Name: CENTER FOR DIGESTIVE HEALTH
  • Facility Address: 1615 N CONVENT ST - SUITE 2
    BOURBONNAIS, IL
    ZIP 60914
  • Facility Phone: 815 936-1700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID B. SUTHERLAND
  • NPI Number: 1619920501
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1022708
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR DIGESTIVE HEALTH
Street 1615 N CONVENT ST - SUITE 2
City BOURBONNAIS
State IL
ZIP 60914
Phone 815 936-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Ambulatory Surgery Center
Lab Director DAVID B. SUTHERLAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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