14D2324726 CLIA NUMBER - CHICAGO GASTROENTEROLOGY LLC

Laboratory Demographics

  • CLIA Code: 14D2324726
  • Facility Name: CHICAGO GASTROENTEROLOGY LLC
  • Facility Address: 2222 W DIVSION ST
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 342-6800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHIXIONG LIAO
  • NPI Number: 1366792426
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2324726
LAB Type Physician Office
Facility Name CHICAGO GASTROENTEROLOGY LLC
Street 2222 W DIVSION ST
City CHICAGO
State IL
ZIP 60622
Phone 773 342-6800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director SHIXIONG LIAO

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