14D1017775 CLIA NUMBER - TREATMENT RESEARCH CENTER - RUSH UNIV MED CENTER

Laboratory Demographics

  • CLIA Code: 14D1017775
  • Facility Name: TREATMENT RESEARCH CENTER - RUSH UNIV MED CENTER
  • Facility Address: 1645 W JACKSON BLVD - STE 600
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-5592
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOHN M. ZAJECKA
  • NPI Number: 1619335098
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1017775
LAB Type Hospital
Facility Name TREATMENT RESEARCH CENTER - RUSH UNIV MED CENTER
Street 1645 W JACKSON BLVD - STE 600
City CHICAGO
State IL
ZIP 60612
Phone 312 942-5592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Hospital
Lab Director JOHN M. ZAJECKA

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