14D2042445 CLIA NUMBER - ESPERANZA HEALTH CENTERS

Laboratory Demographics

  • CLIA Code: 14D2042445
  • Facility Name: ESPERANZA HEALTH CENTERS
  • Facility Address: 3059 W 26TH ST
    CHICAGO, IL
    ZIP 60623
  • Facility Phone: 872 762-3043
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: THOMAS O. KIM
  • NPI Number: 1477812030
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2042445
LAB Type Federally Qualified Health Center
Facility Name ESPERANZA HEALTH CENTERS
Street 3059 W 26TH ST
City CHICAGO
State IL
ZIP 60623
Phone 872 762-3043
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Federally Qualified Health Center
Lab Director THOMAS O. KIM

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