14D0426601 CLIA NUMBER - COMMUNITY FIRST MEDICAL CENTER COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC DBA

Laboratory Demographics

  • CLIA Code: 14D0426601
  • Facility Name: COMMUNITY FIRST MEDICAL CENTER COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC DBA
  • Facility Address: 5645 W ADDISON ST ATTN PAUSHIKA GANDHI - LAB DIRECTOR
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 282-7000
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SHIWEN SONG
  • NPI Number: 1942608203
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0426601
LAB Type Hospital
Facility Name COMMUNITY FIRST MEDICAL CENTER COMMUNITY FIRST HEALTHCARE OF ILLINOIS INC DBA
Street 5645 W ADDISON ST ATTN PAUSHIKA GANDHI - LAB DIRECTOR
City CHICAGO
State IL
ZIP 60634
Phone 773 282-7000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. SHIWEN SONG

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This page was last updated on: 6/4/2025