14D1088566 CLIA NUMBER - SPECIALTY PHYSICIANS OF ILLINOIS, L L C

Laboratory Demographics

  • CLIA Code: 14D1088566
  • Facility Name: SPECIALTY PHYSICIANS OF ILLINOIS, L L C
  • Facility Address: 3700 W 203RD ST, STE 301
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 679-2966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL SETTECASE
  • NPI Number: 1235637851
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D1088566
LAB Type Physician Office
Facility Name SPECIALTY PHYSICIANS OF ILLINOIS, L L C
Street 3700 W 203RD ST, STE 301
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 679-2966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director MICHAEL SETTECASE

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