14D1020062 CLIA NUMBER - ROSELIA HERRERA MD SC

Laboratory Demographics

  • CLIA Code: 14D1020062
  • Facility Name: ROSELIA HERRERA MD SC
  • Facility Address: 6039 W CERMAK RD
    CICERO, IL
    ZIP 60804
  • Facility Phone: 708 652-0056
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSELIA HERRERA
  • NPI Number: 1124066162
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1020062
LAB Type Physician Office
Facility Name ROSELIA HERRERA MD SC
Street 6039 W CERMAK RD
City CICERO
State IL
ZIP 60804
Phone 708 652-0056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director ROSELIA HERRERA

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