14D2126454 CLIA NUMBER - DPNS SURGICAL CENTER

Laboratory Demographics

CLIA Number: 14D2126454

Facility Name: DPNS SURGICAL CENTER

Facility Address:
400 SKOKIE BLVD, STE 450
NORTHBROOK, IL
ZIP 60062
Get Directions

Facility Phone Number: 847 272-0022

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1437283207

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2126454
LAB Type	Physician Office
Facility Name	DPNS SURGICAL CENTER
Street	400 SKOKIE BLVD, STE 450
City	NORTHBROOK
State	IL
ZIP	60062
Phone	847 272-0022
CertificateType	2
CertificateEffectiveDate	6/7/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024