14D2098221 CLIA NUMBER - MODERN PAIN CONSULTANTS

Laboratory Demographics

  • CLIA Code: 14D2098221
  • Facility Name: MODERN PAIN CONSULTANTS
  • Facility Address: 1802 N DIVISION - STE 605
    MORRIS, IL
    ZIP 60450
  • Facility Phone: 815 416-1224
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROY F. HUCHZERMEIER
  • NPI Number: 1255956777
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2098221
LAB Type Physician Office
Facility Name MODERN PAIN CONSULTANTS
Street 1802 N DIVISION - STE 605
City MORRIS
State IL
ZIP 60450
Phone 815 416-1224
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director DR. ROY F. HUCHZERMEIER

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