14D2145779 CLIA NUMBER - HISPANIC MEDICAL SERVICES S C

Laboratory Demographics

  • CLIA Code: 14D2145779
  • Facility Name: HISPANIC MEDICAL SERVICES S C
  • Facility Address: 5544 W BELMONT AVE
    CHICAGO, IL
    ZIP 60641
  • Facility Phone: 773 685-7816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON J. CASTRO M D
  • NPI Number: 1659449718
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2145779
LAB Type Physician Office
Facility Name HISPANIC MEDICAL SERVICES S C
Street 5544 W BELMONT AVE
City CHICAGO
State IL
ZIP 60641
Phone 773 685-7816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director RAMON J. CASTRO M D

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