Healther Providers Data Logo

14D1070468 CLIA NUMBER - METROPOLITAN M D S C

Laboratory Demographics

CLIA Number: 14D1070468

Facility Name: METROPOLITAN M D S C

Facility Address:
2350 RAVINE WAY, SUITE 400
GLENVIEW, IL
ZIP 60025
Get Directions

Facility Phone Number: 847 832-6700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1134252273

Taxonomy: 2086S0122X - Surgery
A surgeon who specializes in plastic and reconstructive surgery.

CLIA Record

Field Name Field Value
CLIA Number 14D1070468
LAB Type Physician Office
Facility Name METROPOLITAN M D S C
Street 2350 RAVINE WAY, SUITE 400
City GLENVIEW
State IL
ZIP 60025
Phone 847 832-6700
CertificateType 4
CertificateEffectiveDate 6/29/2023
CertificateExpirationDate 6/28/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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