14D2282264 CLIA NUMBER - PEPPER ROAD ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 14D2282264
  • Facility Name: PEPPER ROAD ENDOSCOPY
  • Facility Address: 22285 N PEPPER RD - STE 312
    LAKE BARRINGTON, IL
    ZIP 60010
  • Facility Phone: 847 382-0679
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHAD SPANGLER
  • NPI Number: 1548963887
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2282264
LAB Type Ambulatory Surgery Center
Facility Name PEPPER ROAD ENDOSCOPY
Street 22285 N PEPPER RD - STE 312
City LAKE BARRINGTON
State IL
ZIP 60010
Phone 847 382-0679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Ambulatory Surgery Center
Lab Director CHAD SPANGLER

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