14D0704328 CLIA NUMBER - ANNITA JOHN MD PC

Laboratory Demographics

  • CLIA Code: 14D0704328
  • Facility Name: ANNITA JOHN MD PC
  • Facility Address: 10237 S WESTERN AVE
    CHICAGO, IL
    ZIP 60643
  • Facility Phone: 312 239-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNITA JOHN
  • NPI Number: 1780696286
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0704328
LAB Type Physician Office
Facility Name ANNITA JOHN MD PC
Street 10237 S WESTERN AVE
City CHICAGO
State IL
ZIP 60643
Phone 312 239-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director ANNITA JOHN

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