14D0424695 CLIA NUMBER - CHUNG Z MOK MD

Laboratory Demographics

  • CLIA Code: 14D0424695
  • Facility Name: CHUNG Z MOK MD
  • Facility Address: 2740 W FOSTER AVE #311
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 539-5455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHUNG Z. MOK
  • NPI Number: 1497757306
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0424695
LAB Type Physician Office
Facility Name CHUNG Z MOK MD
Street 2740 W FOSTER AVE #311
City CHICAGO
State IL
ZIP 60625
Phone 773 539-5455
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 CHUNG Z. MOK

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