14D2020657 CLIA NUMBER - AUBURN GRESHAM CBOC

Laboratory Demographics

  • CLIA Code: 14D2020657
  • Facility Name: AUBURN GRESHAM CBOC
  • Facility Address: 7731 SOUTH HALSTED
    CHICAGO, IL
    ZIP 60620
  • Facility Phone: 312 963-3700
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: SHOUJIN WU
  • NPI Number: 1548438450
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2020657
LAB Type Community Clinic
Facility Name AUBURN GRESHAM CBOC
Street 7731 SOUTH HALSTED
City CHICAGO
State IL
ZIP 60620
Phone 312 963-3700
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/24/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SHOUJIN WU

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