14D0883273 CLIA NUMBER - DR JORGE PRIETO HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D0883273
  • Facility Name: DR JORGE PRIETO HEALTH CENTER
  • Facility Address: 2424 S PULASKI ROAD
    CHICAGO, IL
    ZIP 60623
  • Facility Phone: 773 257-8360
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NORBERT DEBIASE
  • NPI Number: 1609407691
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0883273
LAB Type Community Clinic
Facility Name DR JORGE PRIETO HEALTH CENTER
Street 2424 S PULASKI ROAD
City CHICAGO
State IL
ZIP 60623
Phone 773 257-8360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Community Clinic
Lab Director NORBERT DEBIASE

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