14D2143888 CLIA NUMBER - PRESENCE SAINT JOSEPH HOSPITAL CHICAGO

Laboratory Demographics

CLIA Number: 14D2143888

Facility Name: PRESENCE SAINT JOSEPH HOSPITAL CHICAGO

Facility Address:
2900 NORTH LAKE SHORE DRIVE
CHICAGO, IL
ZIP 60657
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Facility Phone Number: 773 665-3832

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1861925000

Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

CLIA Record

Field Name	Field Value
CLIA Number	14D2143888
LAB Type	Hospital
Facility Name	PRESENCE SAINT JOSEPH HOSPITAL CHICAGO
Street	2900 NORTH LAKE SHORE DRIVE
City	CHICAGO
State	IL
ZIP	60657
Phone	773 665-3832
CertificateType	1
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024