14D2118539 CLIA NUMBER - NORTHWEST ENDO CENTER

Laboratory Demographics

  • CLIA Code: 14D2118539
  • Facility Name: NORTHWEST ENDO CENTER
  • Facility Address: 1415 S ARLINGTON HEIGHTS RD
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 847 439-1005
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MITCHELL BERNSEN
  • NPI Number: 1801886221
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2118539
LAB Type Ambulatory Surgery Center
Facility Name NORTHWEST ENDO CENTER
Street 1415 S ARLINGTON HEIGHTS RD
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 847 439-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Ambulatory Surgery Center
Lab Director MITCHELL BERNSEN

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