14D2111996 CLIA NUMBER - NORTHWEST COMMUNITY DAY SURG CTR IL LLC

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Laboratory Demographics

CLIA Number: 14D2111996

Facility Name: NORTHWEST COMMUNITY DAY SURG CTR IL LLC

Facility Address:
675 W KIRCHOFF ST
ARLINGTON HEIGHTS, IL
ZIP 60005
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Facility Phone Number: (847) 618-7009

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1093146771

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2111996
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	NORTHWEST COMMUNITY DAY SURG CTR IL LLC
Street	675 W KIRCHOFF ST
City	ARLINGTON HEIGHTS
State	IL
ZIP	60005
Phone	(847) 618-7009

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This page was last updated on: 5/11/2023