14D0860429 CLIA NUMBER - FERNANDO HERMANDEZ MD SC

Laboratory Demographics

  • CLIA Code: 14D0860429
  • Facility Name: FERNANDO HERMANDEZ MD SC
  • Facility Address: 1725 W HARRISON ST SUITE-843
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-2356
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FERNANDO HERNANDEZ
  • NPI Number: 1811911852
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0860429
LAB Type Physician Office
Facility Name FERNANDO HERMANDEZ MD SC
Street 1725 W HARRISON ST SUITE-843
City CHICAGO
State IL
ZIP 60612
Phone 312 942-2356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director FERNANDO HERNANDEZ

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