14D1069769 CLIA NUMBER - MIDWEST ENDOSCOPY CENTER L L C

Laboratory Demographics

  • CLIA Code: 14D1069769
  • Facility Name: MIDWEST ENDOSCOPY CENTER L L C
  • Facility Address: 1243 RICKERT DRIVE
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 527-6450
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT A. BERGER MD
  • NPI Number: 1003036310
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1069769
LAB Type Ambulatory Surgery Center
Facility Name MIDWEST ENDOSCOPY CENTER L L C
Street 1243 RICKERT DRIVE
City NAPERVILLE
State IL
ZIP 60540
Phone 630 527-6450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Ambulatory Surgery Center
Lab Director SCOTT A. BERGER MD

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