14D2073303 CLIA NUMBER - UROPARTNERS CANCER TREATMENT CENTER MICHIGAN AVE

Laboratory Demographics

  • CLIA Code: 14D2073303
  • Facility Name: UROPARTNERS CANCER TREATMENT CENTER MICHIGAN AVE
  • Facility Address: 160 E ILLINOIS ST
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 595-1444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL MEHTA
  • NPI Number: 1043535909
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 14D2073303
LAB Type Physician Office
Facility Name UROPARTNERS CANCER TREATMENT CENTER MICHIGAN AVE
Street 160 E ILLINOIS ST
City CHICAGO
State IL
ZIP 60611
Phone 312 595-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director NEIL MEHTA

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