14D2305079 CLIA NUMBER - STELLAR PAIN AND SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 14D2305079
  • Facility Name: STELLAR PAIN AND SPECIALISTS LLC
  • Facility Address: 830 N ASHLAND AVE - STE 1N
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 280-7001
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SAMIP MORKER
  • NPI Number: 1154777159
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2305079
LAB Type Ambulatory Surgery Center
Facility Name STELLAR PAIN AND SPECIALISTS LLC
Street 830 N ASHLAND AVE - STE 1N
City CHICAGO
State IL
ZIP 60622
Phone 773 280-7001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director SAMIP MORKER

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