14D2140752 CLIA NUMBER - CHICAGO VASCULAR ASC, LLC

Laboratory Demographics

  • CLIA Code: 14D2140752
  • Facility Name: CHICAGO VASCULAR ASC, LLC
  • Facility Address: 700 PASQUINELLI DRIVE
    WESTMONT, IL
    ZIP 60559
  • Facility Phone: 630 323-8690
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ANGELO MAKRIS
  • NPI Number: 1538692876
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2140752
LAB Type Ambulatory Surgery Center
Facility Name CHICAGO VASCULAR ASC, LLC
Street 700 PASQUINELLI DRIVE
City WESTMONT
State IL
ZIP 60559
Phone 630 323-8690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Ambulatory Surgery Center
Lab Director ANGELO MAKRIS

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