14D0987994 CLIA NUMBER - CORNELL INTERVENTIONS SOUTH WOOD

Laboratory Demographics

  • CLIA Code: 14D0987994
  • Facility Name: CORNELL INTERVENTIONS SOUTH WOOD
  • Facility Address: 5701 SOUTH WOOD STREET
    CHICAGO, IL
    ZIP 60636
  • Facility Phone: 773 737-4600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LINDA MARANDA
  • NPI Number: 1598810764
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0987994
LAB Type Other
Facility Name CORNELL INTERVENTIONS SOUTH WOOD
Street 5701 SOUTH WOOD STREET
City CHICAGO
State IL
ZIP 60636
Phone 773 737-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Other
Lab Director LINDA MARANDA

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