14D1023353 CLIA NUMBER - HAYMARKET CENTER

Laboratory Demographics

CLIA Code: 14D1023353
Facility Name: HAYMARKET CENTER
Facility Address: 124 N SANGAMON ST
CHICAGO, IL
ZIP 60607
Facility Phone: 312 226-7984
Facility Type: Other
Facility Type: Waiver
Lab Director: MICHAEL BALDINGER M D
NPI Number: 1376080572
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	14D1023353
LAB Type	Other
Facility Name	HAYMARKET CENTER
Street	124 N SANGAMON ST
City	CHICAGO
State	IL
ZIP	60607
Phone	312 226-7984
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/15/2024
Certificate Expiration Date	3/14/2026
Facility Type	Other
Lab Director	MICHAEL BALDINGER M D

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