14D2017954 CLIA NUMBER - ILLINOIS HAND & UPPER EXTREMITY CENTER

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Laboratory Demographics

CLIA Number: 14D2017954

Facility Name: ILLINOIS HAND & UPPER EXTREMITY CENTER

Facility Address:
515 W ALGONQUIN RD ATTN GINNY LAPAPA
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: 847 956-0099

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1265737621

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2017954
LAB Type	Ambulatory Surgery Center
Facility Name	ILLINOIS HAND & UPPER EXTREMITY CENTER
Street	515 W ALGONQUIN RD ATTN GINNY LAPAPA
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	847 956-0099
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024