14D2049796 CLIA NUMBER - INNOVATIVE PAIN SPECIALISTS L L C

Laboratory Demographics

  • CLIA Code: 14D2049796
  • Facility Name: INNOVATIVE PAIN SPECIALISTS L L C
  • Facility Address: 2101 S ARLINGTON HEIGHTS RD, STE 165
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 847 593-6800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEMETRIOS J. LOUIS
  • NPI Number: 1225385131
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D2049796
LAB Type Physician Office
Facility Name INNOVATIVE PAIN SPECIALISTS L L C
Street 2101 S ARLINGTON HEIGHTS RD, STE 165
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 593-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DEMETRIOS J. LOUIS

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