14D2011211 CLIA NUMBER - ILLINOIS UROLOGIC HEALTH SURGEONS

Laboratory Demographics

  • CLIA Code: 14D2011211
  • Facility Name: ILLINOIS UROLOGIC HEALTH SURGEONS
  • Facility Address: 111 SPRING ST
    STREATOR, IL
    ZIP 61364
  • Facility Phone: 815 672-7289
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVE Y. CHUNG
  • NPI Number: 1124027826
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2011211
LAB Type Physician Office
Facility Name ILLINOIS UROLOGIC HEALTH SURGEONS
Street 111 SPRING ST
City STREATOR
State IL
ZIP 61364
Phone 815 672-7289
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director STEVE Y. CHUNG

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