14D0974264 CLIA NUMBER - GREGORIO ROSENSTEIN MD

Laboratory Demographics

  • CLIA Code: 14D0974264
  • Facility Name: GREGORIO ROSENSTEIN MD
  • Facility Address: 6142 S PULASKI RD
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 773 767-4359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORIO ROSENSTEIN
  • NPI Number: 1619936093
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0974264
LAB Type Physician Office
Facility Name GREGORIO ROSENSTEIN MD
Street 6142 S PULASKI RD
City CHICAGO
State IL
ZIP 60629
Phone 773 767-4359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director GREGORIO ROSENSTEIN

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