14D0978497 CLIA NUMBER - PLANNED PARENTHOOD OF ILLINOIS - WICKER PARK

Laboratory Demographics

CLIA Number: 14D0978497

Facility Name: PLANNED PARENTHOOD OF ILLINOIS - WICKER PARK

Facility Address:
1152 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60642
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Facility Phone Number: 773 252-2240

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1205242120

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	14D0978497
LAB Type	Community Clinic
Facility Name	PLANNED PARENTHOOD OF ILLINOIS - WICKER PARK
Street	1152 N MILWAUKEE AVE
City	CHICAGO
State	IL
ZIP	60642
Phone	773 252-2240
CertificateType	3
CertificateEffectiveDate	5/2/2022
CertificateExpirationDate	5/1/2024
FacilityType	PPMP

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