14D0916413 CLIA NUMBER - NOWOBILSKA MEDICAL PRACTICE LTD

Laboratory Demographics

  • CLIA Code: 14D0916413
  • Facility Name: NOWOBILSKA MEDICAL PRACTICE LTD
  • Facility Address: 5257 S CICERO AVE
    CHICAGO, IL
    ZIP 60632
  • Facility Phone: 773 735-8038
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA D. NOWOBILSKA MD
  • NPI Number: 1013217785
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0916413
LAB Type Physician Office
Facility Name NOWOBILSKA MEDICAL PRACTICE LTD
Street 5257 S CICERO AVE
City CHICAGO
State IL
ZIP 60632
Phone 773 735-8038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director ANNA D. NOWOBILSKA MD

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