14D2112094 CLIA NUMBER - OAK STREET HEALTH - ENGLEWOOD CENTER

Laboratory Demographics

  • CLIA Code: 14D2112094
  • Facility Name: OAK STREET HEALTH - ENGLEWOOD CENTER
  • Facility Address: 850 WEST 63RD ST
    CHICAGO, IL
    ZIP 60621
  • Facility Phone: 773 377-7304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRIFFIN R. MYERS
  • NPI Number: 1184153157
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2112094
LAB Type Physician Office
Facility Name OAK STREET HEALTH - ENGLEWOOD CENTER
Street 850 WEST 63RD ST
City CHICAGO
State IL
ZIP 60621
Phone 773 377-7304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director GRIFFIN R. MYERS

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