14D2195814 CLIA NUMBER - MIDWEST ORTHOPAEDICS AT RUSH, L L C

Laboratory Demographics

  • CLIA Code: 14D2195814
  • Facility Name: MIDWEST ORTHOPAEDICS AT RUSH, L L C
  • Facility Address: 2011 YORK RD
    OAK BROOK, IL
    ZIP 60523
  • Facility Phone: 708 236-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN COLE M D
  • NPI Number: 1548876329
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2195814
LAB Type Physician Office
Facility Name MIDWEST ORTHOPAEDICS AT RUSH, L L C
Street 2011 YORK RD
City OAK BROOK
State IL
ZIP 60523
Phone 708 236-2772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director BRIAN COLE M D

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