14D1101138 CLIA NUMBER - ADVANCED PAIN CONSULTANTS S C

Laboratory Demographics

  • CLIA Code: 14D1101138
  • Facility Name: ADVANCED PAIN CONSULTANTS S C
  • Facility Address: 2100 CLEARWATER DR, STE 100
    OAK BROOK, IL
    ZIP 60523
  • Facility Phone: 630 607-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS KONDELIS
  • NPI Number: 1164567236
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1101138
LAB Type Physician Office
Facility Name ADVANCED PAIN CONSULTANTS S C
Street 2100 CLEARWATER DR, STE 100
City OAK BROOK
State IL
ZIP 60523
Phone 630 607-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2023
Certificate Expiration Date 6/21/2025
Facility Type Physician Office
Lab Director NICHOLAS KONDELIS

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This page was last updated on: 3/20/2025