14D0708187 CLIA NUMBER - COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

Laboratory Demographics

CLIA Number: 14D0708187

Facility Name: COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS

Facility Address:
157 S LINCOLN ST
AURORA, IL
ZIP 60505
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Facility Phone Number: 312 795-0000

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1932375169

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0708187
LAB Type	Federally Qualified Health Center
Facility Name	COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
Street	157 S LINCOLN ST
City	AURORA
State	IL
ZIP	60505
Phone	312 795-0000
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024