14D2176001 CLIA NUMBER - UNITE HERE HEALTH PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2176001
  • Facility Name: UNITE HERE HEALTH PHARMACY
  • Facility Address: 218 S WABASH AVE - STE 400RX
    CHICAGO, IL
    ZIP 60604
  • Facility Phone: 312 736-3397
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYDIA YOUKHANA
  • NPI Number: 1558834572
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2176001
LAB Type Pharmacy
Facility Name UNITE HERE HEALTH PHARMACY
Street 218 S WABASH AVE - STE 400RX
City CHICAGO
State IL
ZIP 60604
Phone 312 736-3397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director LYDIA YOUKHANA

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