14D2163743 CLIA NUMBER - ADELANTE COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 14D2163743

Facility Name: ADELANTE COMMUNITY HEALTH CENTER

Facility Address:
6840 W OGDEN AVE
BERWYN, IL
ZIP 60402
Get Directions

Facility Phone Number: 708 797-3279

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1790160695

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D2163743
LAB Type	Community Clinic
Facility Name	ADELANTE COMMUNITY HEALTH CENTER
Street	6840 W OGDEN AVE
City	BERWYN
State	IL
ZIP	60402
Phone	708 797-3279
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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