14D1029581 CLIA NUMBER - ILLINOIS CANCER SPECIALISTS FOX VALLEY HEMATOLOGY ONCOLOGY

Laboratory Demographics

  • CLIA Code: 14D1029581
  • Facility Name: ILLINOIS CANCER SPECIALISTS FOX VALLEY HEMATOLOGY ONCOLOGY
  • Facility Address: 360 STATION DR - STE 201
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: 815 363-0481
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: SHERRIE A. WHITE
  • NPI Number: 1073916128
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D1029581
LAB Type Physician Office
Facility Name ILLINOIS CANCER SPECIALISTS FOX VALLEY HEMATOLOGY ONCOLOGY
Street 360 STATION DR - STE 201
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 815 363-0481
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/7/2023
Certificate Expiration Date 7/6/2025
Facility Type Physician Office
Lab Director SHERRIE A. WHITE

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This page was last updated on: 6/4/2025