14D2137826 CLIA NUMBER - CANARY TELEHEALTH INC

Laboratory Demographics

  • CLIA Code: 14D2137826
  • Facility Name: CANARY TELEHEALTH INC
  • Facility Address: 3151 S MICHIGAN AVE
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 286-6644
  • Facility Type: Other - TELEHEALTH/TELEMEDICINE
  • Facility Type: Waiver
  • Lab Director: SAM A. ROBINSON PHD
  • NPI Number: 1457771792
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2137826
LAB Type Other - TELEHEALTH/TELEMEDICINE
Facility Name CANARY TELEHEALTH INC
Street 3151 S MICHIGAN AVE
City CHICAGO
State IL
ZIP 60616
Phone 312 286-6644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Other - TELEHEALTH/TELEMEDICINE
Lab Director SAM A. ROBINSON PHD

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