14D0666764 CLIA NUMBER - WILSON CARE

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CLIA Record

Field Name Field Value
CLIA Number 14D0666764
LAB Type Other
Facility Name WILSON CARE
Street 4544 N HAZEL
City CHICAGO
State IL
ZIP 60640
Phone 773 561-7241
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 MARILYN E. MAGNUSSON

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