14D2041341 CLIA NUMBER - NORTHWEST MEDICAL ASSOCIATES OF CHICAGO

Laboratory Demographics

  • CLIA Code: 14D2041341
  • Facility Name: NORTHWEST MEDICAL ASSOCIATES OF CHICAGO
  • Facility Address: 2222 W DIVISION - STE 210
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 484-4330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OGBONNAYA ANEZIOKORO M D
  • NPI Number: 1730212127
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2041341
LAB Type Physician Office
Facility Name NORTHWEST MEDICAL ASSOCIATES OF CHICAGO
Street 2222 W DIVISION - STE 210
City CHICAGO
State IL
ZIP 60622
Phone 773 484-4330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director OGBONNAYA ANEZIOKORO M D

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