14D0418492 CLIA NUMBER - FRANCISCAN WORKING WELL

Laboratory Demographics

  • CLIA Code: 14D0418492
  • Facility Name: FRANCISCAN WORKING WELL
  • Facility Address: 211 DIXIE HWY
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Facility Phone: 708 709-2000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KANYO ODELUGA MD
  • NPI Number: 1144216474
  • Taxonomy: 251F00000X - Home Infusion

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CLIA Record

Field Name Field Value
CLIA Number 14D0418492
LAB Type Community Clinic
Facility Name FRANCISCAN WORKING WELL
Street 211 DIXIE HWY
City CHICAGO HEIGHTS
State IL
ZIP 60411
Phone 708 709-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Community Clinic
Lab Director KANYO ODELUGA MD

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