14D0423425 CLIA NUMBER - CERMAK HEALTH SERVICES OF COOK COUNTY

Laboratory Demographics

  • CLIA Code: 14D0423425
  • Facility Name: CERMAK HEALTH SERVICES OF COOK COUNTY
  • Facility Address: 2800 S CALIFORNIA
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 773 674-4935
  • Facility Type: Prison
  • Facility Type: Microscopy
  • Lab Director: PRISCILLA ADU OSEI WARE
  • NPI Number: 1972726701
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 14D0423425
LAB Type Prison
Facility Name CERMAK HEALTH SERVICES OF COOK COUNTY
Street 2800 S CALIFORNIA
City CHICAGO
State IL
ZIP 60608
Phone 773 674-4935
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Prison
Lab Director PRISCILLA ADU OSEI WARE

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