14D0929035 CLIA NUMBER - HAROLD JAIMES MD PC

Laboratory Demographics

  • CLIA Code: 14D0929035
  • Facility Name: HAROLD JAIMES MD PC
  • Facility Address: 3153 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 395-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD JAIMES MD
  • NPI Number: 1770526279
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0929035
LAB Type Physician Office
Facility Name HAROLD JAIMES MD PC
Street 3153 W FULLERTON AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 395-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director HAROLD JAIMES MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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