14D0686208 CLIA NUMBER - OAK PARK HOSP/PATIENT CARE SERVICES

Laboratory Demographics

  • CLIA Code: 14D0686208
  • Facility Name: OAK PARK HOSP/PATIENT CARE SERVICES
  • Facility Address: 520 S MAPLE AVE
    OAK PARK, IL
    ZIP 60304
  • Facility Phone: 708 660-2284
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MARK D. POOL
  • NPI Number: 1780659151
  • Taxonomy: 2085B0100X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0686208
LAB Type Hospital
Facility Name OAK PARK HOSP/PATIENT CARE SERVICES
Street 520 S MAPLE AVE
City OAK PARK
State IL
ZIP 60304
Phone 708 660-2284
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 Hospital
Lab Director MARK D. POOL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025