14D2056529 CLIA NUMBER - ILLINOIS UROLOGIC HEALTH SURGEONS

Laboratory Demographics

  • CLIA Code: 14D2056529
  • Facility Name: ILLINOIS UROLOGIC HEALTH SURGEONS
  • Facility Address: 1050 E NORRIS DR - STE 1C
    OTTAWA, IL
    ZIP 61350
  • Facility Phone: 815 664-2617
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVE Y. CHUNG
  • NPI Number: 1649300377
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2056529
LAB Type Physician Office
Facility Name ILLINOIS UROLOGIC HEALTH SURGEONS
Street 1050 E NORRIS DR - STE 1C
City OTTAWA
State IL
ZIP 61350
Phone 815 664-2617
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 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director STEVE Y. CHUNG

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