14D0423602 CLIA NUMBER - PLANNED PARENTHOOD OF IL - NEAR NORTH HEALTH CTR

Laboratory Demographics

CLIA Number: 14D0423602

Facility Name: PLANNED PARENTHOOD OF IL - NEAR NORTH HEALTH CTR

Facility Address:
1200 N LASALLE BLVD
CHICAGO, IL
ZIP 60610
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Facility Phone Number: 312 266-1033

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1215343140

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D0423602
LAB Type	Community Clinic
Facility Name	PLANNED PARENTHOOD OF IL - NEAR NORTH HEALTH CTR
Street	1200 N LASALLE BLVD
City	CHICAGO
State	IL
ZIP	60610
Phone	312 266-1033
CertificateType	2
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Compliance

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