14D0414192 CLIA NUMBER - NORTHSHORE UNIVERSITY HLTH SYSTEMS SKOKIE HOSPITAL

Laboratory Demographics

CLIA Number: 14D0414192

Facility Name: NORTHSHORE UNIVERSITY HLTH SYSTEMS SKOKIE HOSPITAL

Facility Address:
9600 GROSS POINT RD, RM 2549 - LAB ADMINISTRATION
SKOKIE, IL
ZIP 60076
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Facility Phone Number: 847 570-2052

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1023550811

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	14D0414192
LAB Type	Hospital
Facility Name	NORTHSHORE UNIVERSITY HLTH SYSTEMS SKOKIE HOSPITAL
Street	9600 GROSS POINT RD, RM 2549 - LAB ADMINISTRATION
City	SKOKIE
State	IL
ZIP	60076
Phone	847 570-2052
CertificateType	1
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Accreditation

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