14D1063568 CLIA NUMBER - AESTHETIC SURGERY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D1063568
  • Facility Name: AESTHETIC SURGERY ASSOCIATES
  • Facility Address: 1331 W 75TH ST #306
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 851-3223
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRYAN W. RUBACH
  • NPI Number: 1982726121
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1063568
LAB Type Other
Facility Name AESTHETIC SURGERY ASSOCIATES
Street 1331 W 75TH ST #306
City NAPERVILLE
State IL
ZIP 60540
Phone 630 851-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other
Lab Director BRYAN W. RUBACH

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