14D2203188 CLIA NUMBER - MEXICARE INC

Laboratory Demographics

  • CLIA Code: 14D2203188
  • Facility Name: MEXICARE INC
  • Facility Address: 3200 WEST 26TH STREET
    CHICAGO, IL
    ZIP 60623
  • Facility Phone: 773 890-1800
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JAWAD HAMDAN
  • NPI Number: 1205061124
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2203188
LAB Type Independent
Facility Name MEXICARE INC
Street 3200 WEST 26TH STREET
City CHICAGO
State IL
ZIP 60623
Phone 773 890-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Independent
Lab Director JAWAD HAMDAN

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