14D1002329 CLIA NUMBER - CHICAGO HEIGHTS CBOC

Laboratory Demographics

  • CLIA Code: 14D1002329
  • Facility Name: CHICAGO HEIGHTS CBOC
  • Facility Address: 30 E 15TH ST SUITE 314
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Facility Phone: 312 962-3700
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SHOUJIN WU
  • NPI Number: 1134266521
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D1002329
LAB Type Community Clinic
Facility Name CHICAGO HEIGHTS CBOC
Street 30 E 15TH ST SUITE 314
City CHICAGO HEIGHTS
State IL
ZIP 60411
Phone 312 962-3700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/24/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SHOUJIN WU

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