14D0666246 CLIA NUMBER - NORTHWESTERN MEMORIAL HOSP/MAIN LAB

Laboratory Demographics

CLIA Number: 14D0666246

Facility Name: NORTHWESTERN MEMORIAL HOSP/MAIN LAB

Facility Address:
251 E HURON - FEINBERG 5TH/7TH FL, GALTER 7TH FL, PRENTICE 6TH FL, OLSON 2ND/7TH FL
CHICAGO, IL
ZIP 60611
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Facility Phone Number: 312 926-1573

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1417619412

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	14D0666246
LAB Type	Hospital
Facility Name	NORTHWESTERN MEMORIAL HOSP/MAIN LAB
Street	251 E HURON - FEINBERG 5TH/7TH FL, GALTER 7TH FL, PRENTICE 6TH FL, OLSON 2ND/7TH FL
City	CHICAGO
State	IL
ZIP	60611
Phone	312 926-1573
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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