14D2161265 CLIA NUMBER - CONGRESS VASCULAR CENTER L L C

Laboratory Demographics

  • CLIA Code: 14D2161265
  • Facility Name: CONGRESS VASCULAR CENTER L L C
  • Facility Address: 41 W CONGRESS PKWY - L L
    CHICAGO, IL
    ZIP 60605
  • Facility Phone: 847 593-8460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA M. CLARKE
  • NPI Number: 1467986901
  • Taxonomy: 2086S0127X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2161265
LAB Type Physician Office
Facility Name CONGRESS VASCULAR CENTER L L C
Street 41 W CONGRESS PKWY - L L
City CHICAGO
State IL
ZIP 60605
Phone 847 593-8460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director PATRICIA M. CLARKE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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