14D1103069 CLIA NUMBER - SOUTH CHICAGO SURGICAL SOLUTIONS

Laboratory Demographics

  • CLIA Code: 14D1103069
  • Facility Name: SOUTH CHICAGO SURGICAL SOLUTIONS
  • Facility Address: 16450 S 104TH AVENUE
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 364-8441
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BLAIR A. RHODE
  • NPI Number: 1346343936
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D1103069
LAB Type Ambulatory Surgery Center
Facility Name SOUTH CHICAGO SURGICAL SOLUTIONS
Street 16450 S 104TH AVENUE
City ORLAND PARK
State IL
ZIP 60467
Phone 708 364-8441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Ambulatory Surgery Center
Lab Director BLAIR A. RHODE

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