14D2149689 CLIA NUMBER - RUTH M ROTHSTEIN CORE CENTER, THE

Laboratory Demographics

CLIA Number: 14D2149689

Facility Name: RUTH M ROTHSTEIN CORE CENTER, THE

Facility Address:
2020 W HARRISON ST
CHICAGO, IL
ZIP 60612
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Facility Phone Number: (312) 572-4575

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1861513996

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2149689
LAB Type	PHYSICIAN OFFICE
Facility Name	RUTH M ROTHSTEIN CORE CENTER, THE
Street	2020 W HARRISON ST
City	CHICAGO
State	IL
ZIP	60612
Phone	(312) 572-4575

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This page was last updated on: 5/11/2023