14D1029862 CLIA NUMBER - BELMONT CRAGIN HEALTH CENTER OF COOK COUNTY

Laboratory Demographics

CLIA Number: 14D1029862

Facility Name: BELMONT CRAGIN HEALTH CENTER OF COOK COUNTY

Facility Address:
5501 W FULLERTON AVE
CHICAGO, IL
ZIP 60639
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Facility Phone Number: (773) 395-7400

Facility Type: COMMUNITY CLINIC

Certificate Type: Microscopy

NPI Number: 1689794489

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1029862
LAB Type	COMMUNITY CLINIC
Facility Name	BELMONT CRAGIN HEALTH CENTER OF COOK COUNTY
Street	5501 W FULLERTON AVE
City	CHICAGO
State	IL
ZIP	60639
Phone	(773) 395-7400

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