14D0938800 CLIA NUMBER - BOYCIN MEDICAL CLINIC LTD

Laboratory Demographics

  • CLIA Code: 14D0938800
  • Facility Name: BOYCIN MEDICAL CLINIC LTD
  • Facility Address: 5219 WEST MADISON ST
    CHICAGO, IL
    ZIP 60644
  • Facility Phone: 773 378-4823
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NDUDI ANIEMEKA M D
  • NPI Number: 1386976959
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0938800
LAB Type Physician Office
Facility Name BOYCIN MEDICAL CLINIC LTD
Street 5219 WEST MADISON ST
City CHICAGO
State IL
ZIP 60644
Phone 773 378-4823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director NDUDI ANIEMEKA M D

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