14D0990014 CLIA NUMBER - MORTON EAST ADOLESCENT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D0990014
  • Facility Name: MORTON EAST ADOLESCENT HEALTH CENTER
  • Facility Address: 2423 S AUSTIN BLVD
    CICERO, IL
    ZIP 60804
  • Facility Phone: 708 656-1130
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DENISE R. CUNILL MD
  • NPI Number: 1104946904
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0990014
LAB Type Other
Facility Name MORTON EAST ADOLESCENT HEALTH CENTER
Street 2423 S AUSTIN BLVD
City CICERO
State IL
ZIP 60804
Phone 708 656-1130
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Other
Lab Director DENISE R. CUNILL MD

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