14D2103249 CLIA NUMBER - PCC COMMUNITY WELLNESS CTR - STEINMETZ

Laboratory Demographics

  • CLIA Code: 14D2103249
  • Facility Name: PCC COMMUNITY WELLNESS CTR - STEINMETZ
  • Facility Address: 3030 N MOBILE AVE
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 708 406-3041
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: PAUL S. LUNING MD
  • NPI Number: 1255701942
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2103249
LAB Type Federally Qualified Health Center
Facility Name PCC COMMUNITY WELLNESS CTR - STEINMETZ
Street 3030 N MOBILE AVE
City CHICAGO
State IL
ZIP 60634
Phone 708 406-3041
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 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Federally Qualified Health Center
Lab Director PAUL S. LUNING MD

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