14D0426077 CLIA NUMBER - HOLY CROSS HOSPITAL

Laboratory Demographics

CLIA Number: 14D0426077

Facility Name: HOLY CROSS HOSPITAL

Facility Address:
2701 W 68TH STREET
CHICAGO, IL
ZIP 60629
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Facility Phone Number: 773 884-4601

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1629472451

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0426077
LAB Type	Hospital
Facility Name	HOLY CROSS HOSPITAL
Street	2701 W 68TH STREET
City	CHICAGO
State	IL
ZIP	60629
Phone	773 884-4601
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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