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

Laboratory Demographics

  • CLIA Code: 14D1029862
  • Facility Name: BELMONT CRAGIN HEALTH CENTER OF COOK COUNTY
  • Facility Address: 5501 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60639
  • Facility Phone: 773 395-7400
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DENISE R. CUNILL M D
  • NPI Number: 1689794489
  • Taxonomy: 261QP2300X - Clinic/Center

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Community Clinic
Lab Director DENISE R. CUNILL M D

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