14D2044684 CLIA NUMBER - SUMMIT CENTER FOR HEALTH

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Laboratory Demographics

CLIA Number: 14D2044684

Facility Name: SUMMIT CENTER FOR HEALTH

Facility Address:
1S210 SUMMIT AVE
OAKBROOK TERRACE, IL
ZIP 60181
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Facility Phone Number: 630 282-6000

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1487900643

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2044684
LAB Type	Ambulatory Surgery Center
Facility Name	SUMMIT CENTER FOR HEALTH
Street	1S210 SUMMIT AVE
City	OAKBROOK TERRACE
State	IL
ZIP	60181
Phone	630 282-6000
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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