14D2152554 CLIA NUMBER - VASCULAR ACCESS CTR OF IL AT MORGAN PARK L L C

Laboratory Demographics

CLIA Number: 14D2152554

Facility Name: VASCULAR ACCESS CTR OF IL AT MORGAN PARK L L C

Facility Address:
1701 W MONTEREY
CHICAGO, IL
ZIP 60643
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Facility Phone Number: (773) 366-8035

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1689163875

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2152554
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	VASCULAR ACCESS CTR OF IL AT MORGAN PARK L L C
Street	1701 W MONTEREY
City	CHICAGO
State	IL
ZIP	60643
Phone	(773) 366-8035

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