14D2094088 CLIA NUMBER - CAM MEDICAL GROUP SC

Laboratory Demographics

  • CLIA Code: 14D2094088
  • Facility Name: CAM MEDICAL GROUP SC
  • Facility Address: 1349 N WESTERN AVE
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 000 773-3848
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CESAR A. MORALES MD
  • NPI Number: 1992863526
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2094088
LAB Type Physician Office
Facility Name CAM MEDICAL GROUP SC
Street 1349 N WESTERN AVE
City CHICAGO
State IL
ZIP 60622
Phone 000 773-3848
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 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Physician Office
Lab Director CESAR A. MORALES MD

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