14D1101337 CLIA NUMBER - OLYMPIAN SURGICAL SUITES

Laboratory Demographics

  • CLIA Code: 14D1101337
  • Facility Name: OLYMPIAN SURGICAL SUITES
  • Facility Address: 1002 INTERSTATE DRIVE
    CHAMPAIGN, IL
    ZIP 61822
  • Facility Phone: 866 622-9222
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SIDNEY ROHSCHIEB
  • NPI Number: 1629218466
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1101337
LAB Type Ambulatory Surgery Center
Facility Name OLYMPIAN SURGICAL SUITES
Street 1002 INTERSTATE DRIVE
City CHAMPAIGN
State IL
ZIP 61822
Phone 866 622-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Ambulatory Surgery Center
Lab Director SIDNEY ROHSCHIEB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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