14D2016563 CLIA NUMBER - PRAIRIESHORE PAIN CENTER PC

Laboratory Demographics

  • CLIA Code: 14D2016563
  • Facility Name: PRAIRIESHORE PAIN CENTER PC
  • Facility Address: 185 MILWAUKEE AVE STE 230
    LINCOLNSHIRE, IL
    ZIP 60069
  • Facility Phone: 847 883-0077
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RICHARD A. CANER
  • NPI Number: 1689905416
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2016563
LAB Type Physician Office
Facility Name PRAIRIESHORE PAIN CENTER PC
Street 185 MILWAUKEE AVE STE 230
City LINCOLNSHIRE
State IL
ZIP 60069
Phone 847 883-0077
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director RICHARD A. CANER

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