14D2282620 CLIA NUMBER - FOX VALLEY ORTHOPAEDIC ASSOCIATES, SC

Laboratory Demographics

  • CLIA Code: 14D2282620
  • Facility Name: FOX VALLEY ORTHOPAEDIC ASSOCIATES, SC
  • Facility Address: 1710 N RANDALL RD - STE 140
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 630 584-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY S. PETSCHE
  • NPI Number: 1104897644
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2282620
LAB Type Physician Office
Facility Name FOX VALLEY ORTHOPAEDIC ASSOCIATES, SC
Street 1710 N RANDALL RD - STE 140
City ELGIN
State IL
ZIP 60123
Phone 630 584-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director TIMOTHY S. PETSCHE

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