14D2255430 CLIA NUMBER - GREATER CHICAGO CENTER FOR ADVANCED SURGERY

Laboratory Demographics

CLIA Number: 14D2255430

Facility Name: GREATER CHICAGO CENTER FOR ADVANCED SURGERY

Facility Address:
999 E TOUHY AVE - STE 350
DES PLAINES, IL
ZIP 60018
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Facility Phone Number: 312 970-0970

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1437722261

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2255430
LAB Type	Ambulatory Surgery Center
Facility Name	GREATER CHICAGO CENTER FOR ADVANCED SURGERY
Street	999 E TOUHY AVE - STE 350
City	DES PLAINES
State	IL
ZIP	60018
Phone	312 970-0970
CertificateType	4
CertificateEffectiveDate	3/15/2024
CertificateExpirationDate	3/14/2026
FacilityType	Waiver

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