14D2162079 CLIA NUMBER - ONTARIO STREETOPERATORY

Home > CLIA Lookup > 14D2162079

Laboratory Demographics

CLIA Number: 14D2162079

Facility Name: ONTARIO STREETOPERATORY

Facility Address:
20 W ONTARIO ST
CHICAGO, IL
ZIP 60654
Get Directions

Facility Phone Number: 312 642-0400

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1487115804

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2162079
LAB Type	Ambulatory Surgery Center
Facility Name	ONTARIO STREETOPERATORY
Street	20 W ONTARIO ST
City	CHICAGO
State	IL
ZIP	60654
Phone	312 642-0400
CertificateType	4
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	Waiver

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