14D2074250 CLIA NUMBER - MERCY CIRCLE

Laboratory Demographics

  • CLIA Code: 14D2074250
  • Facility Name: MERCY CIRCLE
  • Facility Address: 3659 W 99TH ST
    CHICAGO, IL
    ZIP 60655
  • Facility Phone: 773 253-3600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY VON GOEBEN
  • NPI Number: 1821439738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D2074250
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MERCY CIRCLE
Street 3659 W 99TH ST
City CHICAGO
State IL
ZIP 60655
Phone 773 253-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARY VON GOEBEN

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