14D2216963 CLIA NUMBER - MEDICO

Laboratory Demographics

  • CLIA Code: 14D2216963
  • Facility Name: MEDICO
  • Facility Address: 2600 S MICHIGAN AVE - STE 305A
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 371-7951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY DEL PRIORE M D
  • NPI Number: 1225613219
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2216963
LAB Type Physician Office
Facility Name MEDICO
Street 2600 S MICHIGAN AVE - STE 305A
City CHICAGO
State IL
ZIP 60616
Phone 312 371-7951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director ANTHONY DEL PRIORE M D

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