14D0694440 CLIA NUMBER - SHIRLEY S WONG MD SC

Laboratory Demographics

  • CLIA Code: 14D0694440
  • Facility Name: SHIRLEY S WONG MD SC
  • Facility Address: 2600 S MICHIGAN AVE #408
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 808-0900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIRLEY S. WONG
  • NPI Number: 1881728038
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0694440
LAB Type Physician Office
Facility Name SHIRLEY S WONG MD SC
Street 2600 S MICHIGAN AVE #408
City CHICAGO
State IL
ZIP 60616
Phone 312 808-0900
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 Physician Office
Lab Director SHIRLEY S. WONG

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: 9/29/2025