14D0983271 CLIA NUMBER - ABRAHAMS MARK COMPREHENSIVE WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 14D0983271
  • Facility Name: ABRAHAMS MARK COMPREHENSIVE WELLNESS CENTER
  • Facility Address: 9500 S DORCHERSTER AVE, STE 100
    CHICAGO, IL
    ZIP 60628
  • Facility Phone: 773 667-0768
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NICOLE D. KING MD
  • NPI Number: 1104857341
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0983271
LAB Type Community Clinic
Facility Name ABRAHAMS MARK COMPREHENSIVE WELLNESS CENTER
Street 9500 S DORCHERSTER AVE, STE 100
City CHICAGO
State IL
ZIP 60628
Phone 773 667-0768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Community Clinic
Lab Director NICOLE D. KING MD

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