14D2211010 CLIA NUMBER - QUEST DIAGNOSTICS - NORTHWEST HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D2211010
  • Facility Name: QUEST DIAGNOSTICS - NORTHWEST HEALTH CENTER
  • Facility Address: 1649 N PULASKI RD - LAB ROOM
    CHICAGO, IL
    ZIP 60639
  • Facility Phone: 773 278-6868
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MATTHEW KRAIZA
  • NPI Number: 1730770751
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2211010
LAB Type Independent
Facility Name QUEST DIAGNOSTICS - NORTHWEST HEALTH CENTER
Street 1649 N PULASKI RD - LAB ROOM
City CHICAGO
State IL
ZIP 60639
Phone 773 278-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Independent
Lab Director MATTHEW KRAIZA

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