14D0664070 CLIA NUMBER - CENTRAL PLAZA RESIDENTIAL HOME

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CLIA Record

Field Name Field Value
CLIA Number 14D0664070
LAB Type Other
Facility Name CENTRAL PLAZA RESIDENTIAL HOME
Street 321 N CENTRAL
City CHICAGO
State IL
ZIP 60644
Phone 773 626-2300
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 Other
Lab Director JESSICA LYKE

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