14D2037894 CLIA NUMBER - UNIVERSAL FAMILY CONNECTION INC

Laboratory Demographics

  • CLIA Code: 14D2037894
  • Facility Name: UNIVERSAL FAMILY CONNECTION INC
  • Facility Address: 1350 W 103RD ST
    CHICAGO, IL
    ZIP 60643
  • Facility Phone: 773 881-1711
  • Facility Type: Other - COMMUNITY BASED ORG
  • Facility Type: Waiver
  • Lab Director: LATANIA K. LOGAN
  • NPI Number: 1780816488
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2037894
LAB Type Other - COMMUNITY BASED ORG
Facility Name UNIVERSAL FAMILY CONNECTION INC
Street 1350 W 103RD ST
City CHICAGO
State IL
ZIP 60643
Phone 773 881-1711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Other - COMMUNITY BASED ORG
Lab Director LATANIA K. LOGAN

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