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14D2235779 CLIA NUMBER - CHRIST MEDICAL CENTER PHYSICIAN OFFICE PAVILION - STE 205

Laboratory Demographics

CLIA Number: 14D2235779

Facility Name: CHRIST MEDICAL CENTER PHYSICIAN OFFICE PAVILION - STE 205

Facility Address:
4400 W 95TH ST PHYSICIAN OFFICE PAVILION - STE 205
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 708 945-8278

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609144492

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 14D2235779
LAB Type Physician Office
Facility Name CHRIST MEDICAL CENTER PHYSICIAN OFFICE PAVILION - STE 205
Street 4400 W 95TH ST PHYSICIAN OFFICE PAVILION - STE 205
City OAK LAWN
State IL
ZIP 60453
Phone 708 945-8278
CertificateType 4
CertificateEffectiveDate 9/13/2023
CertificateExpirationDate 9/12/2025
FacilityType Waiver

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