14D2253837 CLIA NUMBER - MERCY CARE CENTER

Laboratory Demographics

CLIA Number: 14D2253837

Facility Name: MERCY CARE CENTER

Facility Address:
3753 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60653
Get Directions

Facility Phone Number: 773 451-0725

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1740861582

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D2253837
LAB Type	Community Clinic
Facility Name	MERCY CARE CENTER
Street	3753 S COTTAGE GROVE AVE
City	CHICAGO
State	IL
ZIP	60653
Phone	773 451-0725
CertificateType	4
CertificateEffectiveDate	2/24/2024
CertificateExpirationDate	2/23/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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