14D2311212 CLIA NUMBER - DAVID K ZICH MD SC

Laboratory Demographics

  • CLIA Code: 14D2311212
  • Facility Name: DAVID K ZICH MD SC
  • Facility Address: 737 N MICHIGAN AVE #1050
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 922-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID K. ZICH
  • NPI Number: 1013022565
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2311212
LAB Type Physician Office
Facility Name DAVID K ZICH MD SC
Street 737 N MICHIGAN AVE #1050
City CHICAGO
State IL
ZIP 60611
Phone 312 922-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DAVID K. ZICH

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