14D0913910 CLIA NUMBER - SUNNYSIDE HEALTH CENTER

Laboratory Demographics

CLIA Number: 14D0913910

Facility Name: SUNNYSIDE HEALTH CENTER

Facility Address:
4138-4140 N BROADWAY AVE - STE 107
CHICAGO, IL
ZIP 60613
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Facility Phone Number: (773) 878-8098

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1659725133

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0913910
LAB Type	PHYSICIAN OFFICE
Facility Name	SUNNYSIDE HEALTH CENTER
Street	4138-4140 N BROADWAY AVE - STE 107
City	CHICAGO
State	IL
ZIP	60613
Phone	(773) 878-8098

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This page was last updated on: 5/11/2023