14D1057019 CLIA NUMBER - HOFFMAN ESTATES SURGERY CENTER LLC

Laboratory Demographics

CLIA Number: 14D1057019

Facility Name: HOFFMAN ESTATES SURGERY CENTER LLC

Facility Address:
1555 BARRINGTON RD, LL STE 0400
HOFFMAN ESTATES, IL
ZIP 60169
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Facility Phone Number: 847 519-1600

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1215960992

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D1057019
LAB Type	Ambulatory Surgery Center
Facility Name	HOFFMAN ESTATES SURGERY CENTER LLC
Street	1555 BARRINGTON RD, LL STE 0400
City	HOFFMAN ESTATES
State	IL
ZIP	60169
Phone	847 519-1600
CertificateType	4
CertificateEffectiveDate	8/1/2022
CertificateExpirationDate	7/31/2024
FacilityType	Waiver

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