14D1040195 CLIA NUMBER - ORR ADOLESCENT HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D1040195
  • Facility Name: ORR ADOLESCENT HEALTH CENTER
  • Facility Address: 730 N PULASKI-ROOM 109
    CHICAGO, IL
    ZIP 60624
  • Facility Phone: (773) 534-8924
  • Facility Type: School/Student Health Service
  • Facility Type: Microscopy
  • Lab Director: HANNAH C. HOLMES
  • NPI Number: 1942951488
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D1040195
LAB Type School/Student Health Service
Facility Name ORR ADOLESCENT HEALTH CENTER
Street 730 N PULASKI-ROOM 109
City CHICAGO
State IL
ZIP 60624
Phone 7735348924
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 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type School/Student Health Service
Lab Director HANNAH C. HOLMES

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This page was last updated on: 5/18/2026