14D2292740 CLIA NUMBER - NILES SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 14D2292740
  • Facility Name: NILES SURGERY CENTER, LLC
  • Facility Address: 7403 MILWAUKEE AVE
    NILES, IL
    ZIP 60714
  • Facility Phone: 847 533-6367
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON G. ETHINGTON
  • NPI Number: 1720776990
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2292740
LAB Type Ambulatory Surgery Center
Facility Name NILES SURGERY CENTER, LLC
Street 7403 MILWAUKEE AVE
City NILES
State IL
ZIP 60714
Phone 847 533-6367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Ambulatory Surgery Center
Lab Director JASON G. ETHINGTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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