14D0697388 CLIA NUMBER - THOREK HOSPITAL MEDICAL CENTER-CARDIORESPIRATORY

Laboratory Demographics

  • CLIA Code: 14D0697388
  • Facility Name: THOREK HOSPITAL MEDICAL CENTER-CARDIORESPIRATORY
  • Facility Address: 850 W IRVING PARK ROAD
    CHICAGO, IL
    ZIP 60613
  • Facility Phone: 773 975-6772
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BRAHMA GUPTA
  • NPI Number: 1245441815
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0697388
LAB Type Hospital
Facility Name THOREK HOSPITAL MEDICAL CENTER-CARDIORESPIRATORY
Street 850 W IRVING PARK ROAD
City CHICAGO
State IL
ZIP 60613
Phone 773 975-6772
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director DR. BRAHMA GUPTA

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