14D2043725 CLIA NUMBER - TOTAL CARE PHYSICIANS LTD

Laboratory Demographics

  • CLIA Code: 14D2043725
  • Facility Name: TOTAL CARE PHYSICIANS LTD
  • Facility Address: 3259 S WELLS ST
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 225-5785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINA CIACCIA D O
  • NPI Number: 1174896070
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2043725
LAB Type Physician Office
Facility Name TOTAL CARE PHYSICIANS LTD
Street 3259 S WELLS ST
City CHICAGO
State IL
ZIP 60616
Phone 312 225-5785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director GINA CIACCIA D O

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