14D1016782 CLIA NUMBER - OAK LAWN CBOC

Laboratory Demographics

CLIA Number: 14D1016782

Facility Name: OAK LAWN CBOC

Facility Address:
10201 S CICERO AVENUE
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 708 499-3675

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1861883647

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	14D1016782
LAB Type	Community Clinic
Facility Name	OAK LAWN CBOC
Street	10201 S CICERO AVENUE
City	OAK LAWN
State	IL
ZIP	60453
Phone	708 499-3675
CertificateType	1
CertificateEffectiveDate	9/26/2006
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024