14D1088512 CLIA NUMBER - OAK LAWN ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 14D1088512
  • Facility Name: OAK LAWN ENDOSCOPY
  • Facility Address: 9921 SOUTHWEST HIGHWAY
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 425-2552
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN J. BLUMENSTEIN
  • NPI Number: 1023103769
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1088512
LAB Type Ambulatory Surgery Center
Facility Name OAK LAWN ENDOSCOPY
Street 9921 SOUTHWEST HIGHWAY
City OAK LAWN
State IL
ZIP 60453
Phone 708 425-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN J. BLUMENSTEIN

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