14D2320913 CLIA NUMBER - BRONZEVILLE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D2320913
  • Facility Name: BRONZEVILLE HEALTH CENTER
  • Facility Address: 467 E 31ST
    CHICAGO, IL
    ZIP 60616
  • Facility Phone: 312 572-1066
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: WHITNEY LYN
  • NPI Number: 1225485303
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2320913
LAB Type Community Clinic
Facility Name BRONZEVILLE HEALTH CENTER
Street 467 E 31ST
City CHICAGO
State IL
ZIP 60616
Phone 312 572-1066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Community Clinic
Lab Director WHITNEY LYN

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