14D0860512 CLIA NUMBER - ADVOCATE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D0860512
  • Facility Name: ADVOCATE MEDICAL GROUP
  • Facility Address: 3303 S HALSTED ST - STE 100
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 773 890-0800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH KNAPP JR
  • NPI Number: 1740271964
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0860512
LAB Type Physician Office
Facility Name ADVOCATE MEDICAL GROUP
Street 3303 S HALSTED ST - STE 100
City CHICAGO
State IL
ZIP 60608
Phone 773 890-0800
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 KEITH KNAPP JR

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