14D1081021 CLIA NUMBER - AGHAPY SURGICAL CENTER S C

Laboratory Demographics

CLIA Number: 14D1081021

Facility Name: AGHAPY SURGICAL CENTER S C

Facility Address:
200 FOX GLEN CT
BARRINGTON, IL
ZIP 60010
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Facility Phone Number: 847 382-7165

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295207579

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1081021
LAB Type	Physician Office
Facility Name	AGHAPY SURGICAL CENTER S C
Street	200 FOX GLEN CT
City	BARRINGTON
State	IL
ZIP	60010
Phone	847 382-7165
CertificateType	4
CertificateEffectiveDate	3/7/2024
CertificateExpirationDate	3/6/2026
FacilityType	Waiver

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