14D0673354 CLIA NUMBER - ADVOCATE ILLINOIS MASONIC MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D0673354
  • Facility Name: ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
  • Facility Address: 836 W WELLINGTON AVE - RM G217
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 296-7133
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ZBIGNIEW MALECKI
  • NPI Number: 1891174983
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 14D0673354
LAB Type Hospital
Facility Name ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Street 836 W WELLINGTON AVE - RM G217
City CHICAGO
State IL
ZIP 60657
Phone 773 296-7133
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 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Hospital
Lab Director DR. ZBIGNIEW MALECKI

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