14D2000620 CLIA NUMBER - REAVIS SCHOOL BASED HEALTH CENTER

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Laboratory Demographics

CLIA Number: 14D2000620

Facility Name: REAVIS SCHOOL BASED HEALTH CENTER

Facility Address:
834 EAST 50TH STREET
CHICAGO, IL
ZIP 60615
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Facility Phone Number: (312) 337-1073

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Microscopy

NPI Number: 1922237890

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2000620
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	REAVIS SCHOOL BASED HEALTH CENTER
Street	834 EAST 50TH STREET
City	CHICAGO
State	IL
ZIP	60615
Phone	(312) 337-1073

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