14D2051419 CLIA NUMBER - HECTOR L SALCEDO M D S C

Laboratory Demographics

  • CLIA Code: 14D2051419
  • Facility Name: HECTOR L SALCEDO M D S C
  • Facility Address: 3132 W NORTH AVE
    CHICAGO, IL
    ZIP 60647
  • Facility Phone: 773 227-3132
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HECTOR L. SALCEDO MD
  • NPI Number: 1952530073
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2051419
LAB Type Physician Office
Facility Name HECTOR L SALCEDO M D S C
Street 3132 W NORTH AVE
City CHICAGO
State IL
ZIP 60647
Phone 773 227-3132
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 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director HECTOR L. SALCEDO MD

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