14D0662517 CLIA NUMBER - SAINT ANTHONY HOSPITAL

Laboratory Demographics

  • CLIA Code: 14D0662517
  • Facility Name: SAINT ANTHONY HOSPITAL
  • Facility Address: 2875 W 19TH ST ATTN LAB MANAGER RON LONGINO
    CHICAGO, IL
    ZIP 60623
  • Facility Phone: 773 892-5793
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BATOOL HUZAIFA HUSAIN
  • NPI Number: 1760587703
  • Taxonomy: 207PE0004X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0662517
LAB Type Hospital
Facility Name SAINT ANTHONY HOSPITAL
Street 2875 W 19TH ST ATTN LAB MANAGER RON LONGINO
City CHICAGO
State IL
ZIP 60623
Phone 773 892-5793
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. BATOOL HUZAIFA HUSAIN

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