14D0911033 CLIA NUMBER - DEPARTMENT OF PATHOLOGY U OF I

Laboratory Demographics

  • CLIA Code: 14D0911033
  • Facility Name: DEPARTMENT OF PATHOLOGY U OF I
  • Facility Address: 1740 W TAYLOR MC 750 U OF I AT CHICAGO HOSPITAL
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 996-6292
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: STEPHAN COHN
  • NPI Number: 1235398546
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 14D0911033
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DEPARTMENT OF PATHOLOGY U OF I
Street 1740 W TAYLOR MC 750 U OF I AT CHICAGO HOSPITAL
City CHICAGO
State IL
ZIP 60612
Phone 312 996-6292
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director STEPHAN COHN

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