14D2240607 CLIA NUMBER - RESOLVE HEALTHCARE

Laboratory Demographics

CLIA Number: 14D2240607

Facility Name: RESOLVE HEALTHCARE

Facility Address:
3228 N LINCOLN AVE
CHICAGO, IL
ZIP 60657
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Facility Phone Number: 773 828-3001

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245397538

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2240607
LAB Type	Physician Office
Facility Name	RESOLVE HEALTHCARE
Street	3228 N LINCOLN AVE
City	CHICAGO
State	IL
ZIP	60657
Phone	773 828-3001
CertificateType	4
CertificateEffectiveDate	10/20/2023
CertificateExpirationDate	10/19/2025
FacilityType	Waiver

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