14D2289189 CLIA NUMBER - ESPERANZA HEALTH CENTERS

Laboratory Demographics

  • CLIA Code: 14D2289189
  • Facility Name: ESPERANZA HEALTH CENTERS
  • Facility Address: 4720 S CALIFORNIA AVE
    CHICAGO, IL
    ZIP 60632
  • Facility Phone: 872 762-3146
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: THOMAS O. KIM
  • NPI Number: 1578348736
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2289189
LAB Type Federally Qualified Health Center
Facility Name ESPERANZA HEALTH CENTERS
Street 4720 S CALIFORNIA AVE
City CHICAGO
State IL
ZIP 60632
Phone 872 762-3146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Federally Qualified Health Center
Lab Director THOMAS O. KIM

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