14D0043439 CLIA NUMBER - PRESENCE SAINTS MARY & ELIZABETH MED CTR CHGO

Laboratory Demographics

CLIA Number: 14D0043439

Facility Name: PRESENCE SAINTS MARY & ELIZABETH MED CTR CHGO

Facility Address:
2233 W DIVISION ST, 2ND FL LAB ATTN RICHA BEDI, PHD
CHICAGO, IL
ZIP 60622
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Facility Phone Number: 312 770-2328

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1548471535

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0043439
LAB Type	Hospital
Facility Name	PRESENCE SAINTS MARY & ELIZABETH MED CTR CHGO
Street	2233 W DIVISION ST, 2ND FL LAB ATTN RICHA BEDI, PHD
City	CHICAGO
State	IL
ZIP	60622
Phone	312 770-2328
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024