14D2309776 CLIA NUMBER - ILLINOIS BONE & SPINE INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D2309776
  • Facility Name: ILLINOIS BONE & SPINE INSTITUTE
  • Facility Address: 300 W BUTTERFIELD RD - STE 105
    ELMHURST, IL
    ZIP 60126
  • Facility Phone: 630 501-1706
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEEMA BAYRAN
  • NPI Number: 1417385790
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2309776
LAB Type Ambulatory Surgery Center
Facility Name ILLINOIS BONE & SPINE INSTITUTE
Street 300 W BUTTERFIELD RD - STE 105
City ELMHURST
State IL
ZIP 60126
Phone 630 501-1706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Ambulatory Surgery Center
Lab Director NEEMA BAYRAN

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