14D0696093 CLIA NUMBER - JACKSON PARK HOSPITAL LAB

Laboratory Demographics

  • CLIA Code: 14D0696093
  • Facility Name: JACKSON PARK HOSPITAL LAB
  • Facility Address: 7531 S STONY ISLAND LABORATORY - ATTN LAB DIRECTOR
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 773 947-7881
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DANIEL JOHNSON
  • NPI Number: 1205981081
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0696093
LAB Type Hospital
Facility Name JACKSON PARK HOSPITAL LAB
Street 7531 S STONY ISLAND LABORATORY - ATTN LAB DIRECTOR
City CHICAGO
State IL
ZIP 60649
Phone 773 947-7881
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 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Hospital
Lab Director DANIEL JOHNSON

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