14D1077137 CLIA NUMBER - BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HLTH CTR

Laboratory Demographics

  • CLIA Code: 14D1077137
  • Facility Name: BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HLTH CTR
  • Facility Address: 5002 W MADISON ST
    CHICAGO, IL
    ZIP 60644
  • Facility Phone: 773 722-7900
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RASHAD K. SAAFIR
  • NPI Number: 1588842942
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1077137
LAB Type Community Clinic
Facility Name BOBBY E WRIGHT COMPREHENSIVE BEHAVIORAL HLTH CTR
Street 5002 W MADISON ST
City CHICAGO
State IL
ZIP 60644
Phone 773 722-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Community Clinic
Lab Director RASHAD K. SAAFIR

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