14D0900629 CLIA NUMBER - ADVOCATE MEDICAL GROUP SYKES

Laboratory Demographics

CLIA Number: 14D0900629

Facility Name: ADVOCATE MEDICAL GROUP SYKES

Facility Address:
2535 S MARTIN LUTHER KING DRIVE
CHICAGO, IL
ZIP 60616
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Facility Phone Number: 312 842-7117

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1639111933

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0900629
LAB Type	Physician Office
Facility Name	ADVOCATE MEDICAL GROUP SYKES
Street	2535 S MARTIN LUTHER KING DRIVE
City	CHICAGO
State	IL
ZIP	60616
Phone	312 842-7117
CertificateType	2
CertificateEffectiveDate	2/3/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024