14D1065019 CLIA NUMBER - ASIAN HUMAN SERVICES INC-H I V PREVENTION PROJECT

Laboratory Demographics

CLIA Number: 14D1065019

Facility Name: ASIAN HUMAN SERVICES INC-H I V PREVENTION PROJECT

Facility Address:
4753 N BROADWAY, SUITE 700
CHICAGO, IL
ZIP 60640
Get Directions

Facility Phone Number: (773) 293-8456

Facility Type: MOBILE LAB

Certificate Type: Waiver

NPI Number: 1467685669

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1065019
LAB Type	MOBILE LAB
Facility Name	ASIAN HUMAN SERVICES INC-H I V PREVENTION PROJECT
Street	4753 N BROADWAY, SUITE 700
City	CHICAGO
State	IL
ZIP	60640
Phone	(773) 293-8456

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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