14D0428042 CLIA NUMBER - GARCIA MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 14D0428042
  • Facility Name: GARCIA MEDICAL CENTERS
  • Facility Address: 3538 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 772-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON A. GARCIA MD
  • NPI Number: 1124178330
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0428042
LAB Type Physician Office
Facility Name GARCIA MEDICAL CENTERS
Street 3538 W FULLERTON AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 772-1212
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 RAMON A. GARCIA MD

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