14D1020896 CLIA NUMBER - AUNT MARTHA'S WOMEN'S HEALTH CENTER

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Laboratory Demographics

CLIA Number: 14D1020896

Facility Name: AUNT MARTHA'S WOMEN'S HEALTH CENTER

Facility Address:
233 W JOE ORR RD-SOUTH BUILDING
CHICAGO HEIGHTS, IL
ZIP 60411
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Facility Phone Number: (708) 747-7677

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Microscopy

NPI Number: 1063678530

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1020896
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	AUNT MARTHA'S WOMEN'S HEALTH CENTER
Street	233 W JOE ORR RD-SOUTH BUILDING
City	CHICAGO HEIGHTS
State	IL
ZIP	60411
Phone	(708) 747-7677

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This page was last updated on: 5/11/2023