14D0880713 CLIA NUMBER - WARREN BARR SOUTH LOOP

Laboratory Demographics

  • CLIA Code: 14D0880713
  • Facility Name: WARREN BARR SOUTH LOOP
  • Facility Address: 1725 S WABASH AVENUE
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 922-2777
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMER HUSSEINI
  • NPI Number: 1225585987
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0880713
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WARREN BARR SOUTH LOOP
Street 1725 S WABASH AVENUE
City CHICAGO
State IL
ZIP 60616
Phone 312 922-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMER HUSSEINI

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