14D0425869 CLIA NUMBER - TCA HEALTH INC

Laboratory Demographics

  • CLIA Code: 14D0425869
  • Facility Name: TCA HEALTH INC
  • Facility Address: 1029 E 130TH ST ATTN EVA INGRAM-WOODALL
    CHICAGO, IL
    ZIP 60628
  • Facility Phone: (773) 995-6300
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ZAINAB WILSON
  • NPI Number: 1184757353
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0425869
LAB Type Community Clinic
Facility Name TCA HEALTH INC
Street 1029 E 130TH ST ATTN EVA INGRAM-WOODALL
City CHICAGO
State IL
ZIP 60628
Phone 7739956300
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 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Community Clinic
Lab Director ZAINAB WILSON

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This page was last updated on: 5/18/2026