14D0973005 CLIA NUMBER - HOPE MED CLINIC

Laboratory Demographics

  • CLIA Code: 14D0973005
  • Facility Name: HOPE MED CLINIC
  • Facility Address: 2604 DEMPSTER ST STE 403
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 627-5206
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID Y. JUN MD
  • NPI Number: 1932275633
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0973005
LAB Type Physician Office
Facility Name HOPE MED CLINIC
Street 2604 DEMPSTER ST STE 403
City PARK RIDGE
State IL
ZIP 60068
Phone 847 627-5206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director DAVID Y. JUN MD

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