14D2295642 CLIA NUMBER - NUTRITION & DIABETES CENTER

Laboratory Demographics

  • CLIA Code: 14D2295642
  • Facility Name: NUTRITION & DIABETES CENTER
  • Facility Address: 5157 N FRANCISCO AVE - 2ND FLR
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 847 738-5567
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANNALISA TSAI
  • NPI Number: 1558241539
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 14D2295642
LAB Type Community Clinic
Facility Name NUTRITION & DIABETES CENTER
Street 5157 N FRANCISCO AVE - 2ND FLR
City CHICAGO
State IL
ZIP 60625
Phone 847 738-5567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Community Clinic
Lab Director ANNALISA TSAI

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