14D2109720 CLIA NUMBER - 3P4CARE (IL) LLC AVONDALE

Laboratory Demographics

  • CLIA Code: 14D2109720
  • Facility Name: 3P4CARE (IL) LLC AVONDALE
  • Facility Address: 3502 N KEDZIE AVE
    CHICAGO, IL
    ZIP 60618
  • Facility Phone: 773 654-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHU KWAN AUGUSTINE WONG
  • NPI Number: 1467820001
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2109720
LAB Type Physician Office
Facility Name 3P4CARE (IL) LLC AVONDALE
Street 3502 N KEDZIE AVE
City CHICAGO
State IL
ZIP 60618
Phone 773 654-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director CHU KWAN AUGUSTINE WONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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