14D1081950 CLIA NUMBER - PLAINFIELD SURGERY CENTER L L C

Laboratory Demographics

  • CLIA Code: 14D1081950
  • Facility Name: PLAINFIELD SURGERY CENTER L L C
  • Facility Address: 24600 W 127TH ST, BLDG C
    PLAINFIELD, IL
    ZIP 60585
  • Facility Phone: 815 436-0911
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KAREN L. ROUSE
  • NPI Number: 1902078207
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1081950
LAB Type Ambulatory Surgery Center
Facility Name PLAINFIELD SURGERY CENTER L L C
Street 24600 W 127TH ST, BLDG C
City PLAINFIELD
State IL
ZIP 60585
Phone 815 436-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Ambulatory Surgery Center
Lab Director KAREN L. ROUSE

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