14D1025288 CLIA NUMBER - COLETTE GORDON MD

Laboratory Demographics

  • CLIA Code: 14D1025288
  • Facility Name: COLETTE GORDON MD
  • Facility Address: 2800 N SHERIDAN-SUITE 311
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 281-7835
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLETTE B. GORDON
  • NPI Number: 1447266176
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1025288
LAB Type Physician Office
Facility Name COLETTE GORDON MD
Street 2800 N SHERIDAN-SUITE 311
City CHICAGO
State IL
ZIP 60657
Phone 773 281-7835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director COLETTE B. GORDON

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