14D0884337 CLIA NUMBER - NORTHEASTERN ILLINOIS UNIV HEALTH SVC

Laboratory Demographics

  • CLIA Code: 14D0884337
  • Facility Name: NORTHEASTERN ILLINOIS UNIV HEALTH SVC
  • Facility Address: 5500 N SAINT LOUIS AVE
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 583-4050
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: SHARON HEIMBAUGH
  • NPI Number: 1326226648
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0884337
LAB Type School/Student Health Service
Facility Name NORTHEASTERN ILLINOIS UNIV HEALTH SVC
Street 5500 N SAINT LOUIS AVE
City CHICAGO
State IL
ZIP 60625
Phone 773 583-4050
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 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type School/Student Health Service
Lab Director SHARON HEIMBAUGH

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