14D2243283 CLIA NUMBER - UI HEALTH 55TH & PULASKI

Laboratory Demographics

  • CLIA Code: 14D2243283
  • Facility Name: UI HEALTH 55TH & PULASKI
  • Facility Address: 5525 S PULASKI RD
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 312 996-6970
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SALLY CAMBELL-LEE
  • NPI Number: 1780309948
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2243283
LAB Type Community Clinic
Facility Name UI HEALTH 55TH & PULASKI
Street 5525 S PULASKI RD
City CHICAGO
State IL
ZIP 60629
Phone 312 996-6970
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Community Clinic
Lab Director SALLY CAMBELL-LEE

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This page was last updated on: 6/4/2025