14D2309576 CLIA NUMBER - MCC HEALTH CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 14D2309576
  • Facility Name: MCC HEALTH CARE SERVICES, INC
  • Facility Address: 9143 S KEDZIE AVE
    CHICAGO, IL
    ZIP 60805
  • Facility Phone: 708 581-7700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOSE CORTEZ
  • NPI Number: 1689810137
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2309576
LAB Type Home Health Agency
Facility Name MCC HEALTH CARE SERVICES, INC
Street 9143 S KEDZIE AVE
City CHICAGO
State IL
ZIP 60805
Phone 708 581-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Home Health Agency
Lab Director JOSE CORTEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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