14D0916227 CLIA NUMBER - AUNT MARTHAS CHICAGO HEIGHTS COMMUNITY HEALTH CTR

Laboratory Demographics

  • CLIA Code: 14D0916227
  • Facility Name: AUNT MARTHAS CHICAGO HEIGHTS COMMUNITY HEALTH CTR
  • Facility Address: 1536 VINCENNES AVE
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Facility Phone: 708 747-7677
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: CHARLES BARRON M D
  • NPI Number: 1912030305
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0916227
LAB Type Federally Qualified Health Center
Facility Name AUNT MARTHAS CHICAGO HEIGHTS COMMUNITY HEALTH CTR
Street 1536 VINCENNES AVE
City CHICAGO HEIGHTS
State IL
ZIP 60411
Phone 708 747-7677
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Federally Qualified Health Center
Lab Director CHARLES BARRON M D

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