14D0923192 CLIA NUMBER - CEDAR-CROSSE RESEARCH CENTER

Laboratory Demographics

  • CLIA Code: 14D0923192
  • Facility Name: CEDAR-CROSSE RESEARCH CENTER
  • Facility Address: 800 SOUTH WELLS M-15
    CHICAGO, IL
    ZIP 60607
  • Facility Phone: 312 431-6780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANNY H. SUGIMOTO MD
  • NPI Number: 1457432551
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0923192
LAB Type Physician Office
Facility Name CEDAR-CROSSE RESEARCH CENTER
Street 800 SOUTH WELLS M-15
City CHICAGO
State IL
ZIP 60607
Phone 312 431-6780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DANNY H. SUGIMOTO MD

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