14D0856626 CLIA NUMBER - JOSEPH Z PUDLO MD

Laboratory Demographics

  • CLIA Code: 14D0856626
  • Facility Name: JOSEPH Z PUDLO MD
  • Facility Address: 6145 N MILWAUKEE AVE
    CHICAGO, IL
    ZIP 60646
  • Facility Phone: 312 631-2442
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH Z. PUDLO MD
  • NPI Number: 1316206733
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0856626
LAB Type Physician Office
Facility Name JOSEPH Z PUDLO MD
Street 6145 N MILWAUKEE AVE
City CHICAGO
State IL
ZIP 60646
Phone 312 631-2442
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSEPH Z. PUDLO MD

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