14D0987986 CLIA NUMBER - RUSH UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 14D0987986
  • Facility Name: RUSH UROGYNECOLOGY
  • Facility Address: 1725 W HARRISON - STE 351
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-8060
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALLISON CHEN-MCCRACKEN M D
  • NPI Number: 1154382893
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0987986
LAB Type Physician Office
Facility Name RUSH UROGYNECOLOGY
Street 1725 W HARRISON - STE 351
City CHICAGO
State IL
ZIP 60612
Phone 312 942-8060
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director ALLISON CHEN-MCCRACKEN M D

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This page was last updated on: 6/4/2025