14D2265308 CLIA NUMBER - THRESHOLDS HEALTH, NFP

Laboratory Demographics

  • CLIA Code: 14D2265308
  • Facility Name: THRESHOLDS HEALTH, NFP
  • Facility Address: 5801 W CORCORAN PL
    CHICAGO, IL
    ZIP 60644
  • Facility Phone: 773 572-5480
  • Facility Type: Other - LOOK ALIKE CLINIC
  • Facility Type: Waiver
  • Lab Director: J WESLEY COOK
  • NPI Number: 1588043251
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2265308
LAB Type Other - LOOK ALIKE CLINIC
Facility Name THRESHOLDS HEALTH, NFP
Street 5801 W CORCORAN PL
City CHICAGO
State IL
ZIP 60644
Phone 773 572-5480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Other - LOOK ALIKE CLINIC
Lab Director J WESLEY COOK

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