14D2253837 CLIA NUMBER - MERCY CARE CENTER

Laboratory Demographics

  • CLIA Code: 14D2253837
  • Facility Name: MERCY CARE CENTER
  • Facility Address: 3753 S COTTAGE GROVE AVE
    CHICAGO, IL
    ZIP 60653
  • Facility Phone: 773 451-0725
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DAISY RODRIGUEZ
  • NPI Number: 1740861582
  • Taxonomy: 261Q00000X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Community Clinic
Lab Director DAISY RODRIGUEZ

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