14D2196390 CLIA NUMBER - FOX VALLEY ORTHOPAEDIC ASSOCIATES, S C

Laboratory Demographics

  • CLIA Code: 14D2196390
  • Facility Name: FOX VALLEY ORTHOPAEDIC ASSOCIATES, S C
  • Facility Address: 2350 ROYAL BLVD, SUITE 200
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 630 938-4011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY S. PETSCHE
  • NPI Number: 1689212623
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2196390
LAB Type Physician Office
Facility Name FOX VALLEY ORTHOPAEDIC ASSOCIATES, S C
Street 2350 ROYAL BLVD, SUITE 200
City ELGIN
State IL
ZIP 60123
Phone 630 938-4011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director TIMOTHY S. PETSCHE

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