14D2023591 CLIA NUMBER - PRESENCE MED GROUP - R H C NORWOOD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 14D2023591
  • Facility Name: PRESENCE MED GROUP - R H C NORWOOD FAMILY PRACTICE
  • Facility Address: 7447 W TALCOTT AVE, STE 300
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: 773 990-4590
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVANGELOS BISCOTAKIS MD
  • NPI Number: 1164416459
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2023591
LAB Type Physician Office
Facility Name PRESENCE MED GROUP - R H C NORWOOD FAMILY PRACTICE
Street 7447 W TALCOTT AVE, STE 300
City CHICAGO
State IL
ZIP 60631
Phone 773 990-4590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director EVANGELOS BISCOTAKIS MD

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