14D1024827 CLIA NUMBER - SOUTH SIDE HELP CENTER

Laboratory Demographics

  • CLIA Code: 14D1024827
  • Facility Name: SOUTH SIDE HELP CENTER
  • Facility Address: 10420 S HALSTED STREET
    CHICAGO, IL
    ZIP 60628
  • Facility Phone: 773 445-5445
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: VENESSA SMITH
  • NPI Number: 1841630324
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1024827
LAB Type Community Clinic
Facility Name SOUTH SIDE HELP CENTER
Street 10420 S HALSTED STREET
City CHICAGO
State IL
ZIP 60628
Phone 773 445-5445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Community Clinic
Lab Director VENESSA SMITH

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