14D0982687 CLIA NUMBER - METROPOLITAN HEALTH PARTNERS PLLC

Laboratory Demographics

  • CLIA Code: 14D0982687
  • Facility Name: METROPOLITAN HEALTH PARTNERS PLLC
  • Facility Address: 5600 WEST ADDISON SUITE LL001
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 202-9622
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GODWIN D'SOUZA
  • NPI Number: 1619915295
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0982687
LAB Type Physician Office
Facility Name METROPOLITAN HEALTH PARTNERS PLLC
Street 5600 WEST ADDISON SUITE LL001
City CHICAGO
State IL
ZIP 60634
Phone 773 202-9622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director GODWIN D'SOUZA

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