14D0423654 CLIA NUMBER - KRIS G MC GRATH MD

Laboratory Demographics

  • CLIA Code: 14D0423654
  • Facility Name: KRIS G MC GRATH MD
  • Facility Address: 500 N MICHIGAN AVE STE 1640
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 222-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRIS G. MC GRATH
  • NPI Number: 1174563811
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0423654
LAB Type Physician Office
Facility Name KRIS G MC GRATH MD
Street 500 N MICHIGAN AVE STE 1640
City CHICAGO
State IL
ZIP 60611
Phone 312 222-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KRIS G. MC GRATH

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