14D1040659 CLIA NUMBER - ASSOCIATED PLASTIC SURGEONS SC

Laboratory Demographics

  • CLIA Code: 14D1040659
  • Facility Name: ASSOCIATED PLASTIC SURGEONS SC
  • Facility Address: 880 W CENTRAL RD #6100
    ARLINGTON HTS, IL
    ZIP 60005
  • Facility Phone: (847) 398-1660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OTTO J. PLACIK
  • NPI Number: 1396962429
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D1040659
LAB Type Physician Office
Facility Name ASSOCIATED PLASTIC SURGEONS SC
Street 880 W CENTRAL RD #6100
City ARLINGTON HTS
State IL
ZIP 60005
Phone 8473981660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director OTTO J. PLACIK

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This page was last updated on: 5/18/2026