14D1091334 CLIA NUMBER - BLUE ISLAND HEALTH CENTER COOK COUNTY

Laboratory Demographics

  • CLIA Code: 14D1091334
  • Facility Name: BLUE ISLAND HEALTH CENTER COOK COUNTY
  • Facility Address: 12757 S WESTERN
    BLUE ISLAND, IL
    ZIP 60406
  • Facility Phone: 708 293-8431
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HOMER ABIAD M D
  • NPI Number: 1740828284
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1091334
LAB Type Community Clinic
Facility Name BLUE ISLAND HEALTH CENTER COOK COUNTY
Street 12757 S WESTERN
City BLUE ISLAND
State IL
ZIP 60406
Phone 708 293-8431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Community Clinic
Lab Director HOMER ABIAD M D

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