14D1040659 CLIA NUMBER - ASSOCIATED PLASTIC SURGEONS SC

Laboratory Demographics

CLIA Number: 14D1040659

Facility Name: ASSOCIATED PLASTIC SURGEONS SC

Facility Address:
880 W CENTRAL RD #6100
ARLINGTON HTS, IL
ZIP 60005
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Facility Phone Number: 847 398-1660

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396962429

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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	847 398-1660
CertificateType	4
CertificateEffectiveDate	5/13/2023
CertificateExpirationDate	5/12/2025
FacilityType	Waiver

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