14D2060121 CLIA NUMBER - OAK STREET HEALTH - EDGEWATER CENTER

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Laboratory Demographics

CLIA Number: 14D2060121

Facility Name: OAK STREET HEALTH - EDGEWATER CENTER

Facility Address:
1541 W DEVON AVE
CHICAGO, IL
ZIP 60660
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Facility Phone Number: (773) 412-3000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1194164202

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2060121
LAB Type	PHYSICIAN OFFICE
Facility Name	OAK STREET HEALTH - EDGEWATER CENTER
Street	1541 W DEVON AVE
City	CHICAGO
State	IL
ZIP	60660
Phone	(773) 412-3000

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This page was last updated on: 5/11/2023