14D0977930 CLIA NUMBER - PLANNED PARENTHOOD OF ILLINOIS - AUSTIN

Laboratory Demographics

CLIA Number: 14D0977930

Facility Name: PLANNED PARENTHOOD OF ILLINOIS - AUSTIN

Facility Address:
5937 W CHICAGO AVE
CHICAGO, IL
ZIP 60651
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Facility Phone Number: 773 287-2020

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1841607785

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D0977930
LAB Type	Community Clinic
Facility Name	PLANNED PARENTHOOD OF ILLINOIS - AUSTIN
Street	5937 W CHICAGO AVE
City	CHICAGO
State	IL
ZIP	60651
Phone	773 287-2020
CertificateType	3
CertificateEffectiveDate	6/23/2022
CertificateExpirationDate	6/22/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024