14D2207947 CLIA NUMBER - DEPAUL UNIVERSITY

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Laboratory Demographics

CLIA Number: 14D2207947

Facility Name: DEPAUL UNIVERSITY

Facility Address:
2323 N SHEFFIELD AVE
CHICAGO, IL
ZIP 60614
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Facility Phone Number: 773 325-4473

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1083759534

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2207947
LAB Type	School/Student Health Service
Facility Name	DEPAUL UNIVERSITY
Street	2323 N SHEFFIELD AVE
City	CHICAGO
State	IL
ZIP	60614
Phone	773 325-4473
CertificateType	4
CertificateEffectiveDate	1/2/2023
CertificateExpirationDate	1/1/2025
FacilityType	Waiver

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