14D2024883 CLIA NUMBER - RUSH MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D2024883
  • Facility Name: RUSH MEDICAL CENTER
  • Facility Address: 1725 W HARRISON ST, STE 739
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-6296
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JAMES N. MOY M D
  • NPI Number: 1407002504
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D2024883
LAB Type Hospital
Facility Name RUSH MEDICAL CENTER
Street 1725 W HARRISON ST, STE 739
City CHICAGO
State IL
ZIP 60612
Phone 312 942-6296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Hospital
Lab Director JAMES N. MOY M D

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