14D1073243 CLIA NUMBER - TAPESTRY 360 HEALTH

Laboratory Demographics

  • CLIA Code: 14D1073243
  • Facility Name: TAPESTRY 360 HEALTH
  • Facility Address: 1300 W DEVON AVE
    CHICAGO, IL
    ZIP 60660
  • Facility Phone: 773 751-7850
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: COURTNEY MAPES
  • NPI Number: 1548634991
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1073243
LAB Type Federally Qualified Health Center
Facility Name TAPESTRY 360 HEALTH
Street 1300 W DEVON AVE
City CHICAGO
State IL
ZIP 60660
Phone 773 751-7850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Federally Qualified Health Center
Lab Director COURTNEY MAPES

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