14D2181742 CLIA NUMBER - SPECIALTY SURGICARE, L L C

Laboratory Demographics

CLIA Number: 14D2181742

Facility Name: SPECIALTY SURGICARE, L L C

Facility Address:
500 W GOLF RD - STE 102
SCHAUMBURG, IL
ZIP 60195
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Facility Phone Number: 815 404-6478

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1184245375

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2181742
LAB Type	Ambulatory Surgery Center
Facility Name	SPECIALTY SURGICARE, L L C
Street	500 W GOLF RD - STE 102
City	SCHAUMBURG
State	IL
ZIP	60195
Phone	815 404-6478
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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