PRENTICE PLACE
NPI 1053137760
Clinical Medical Laboratory in Chicago, IL

Active since November 26, 2024CLIA 14D2190051 · Waiver
255 W 112TH PL, CHICAGO, IL 60628(773) 391-3123(773) 701-6844 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prentice Place NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRENTICE PLACE (NPI 1053137760) is a healthcare organization registered as a clinical medical laboratory in Chicago, Illinois and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through August 9, 2026 and lists Prentice A. Earl, Owner, as its authorized official.

NPPES Registry Identity

NPI1053137760
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePRENTICE PLACE
Location Address255 W 112TH PLChicago, IL 60628-4132
Mailing Address255 W 112th PlChicago, IL 60628-4132 · (773) 391-3123 · Fax (773) 701-6844
Fax(773) 701-6844
Organization SubpartNo
Authorized OfficialPrentice A. EarlOwner · (773) 391-3123
Enumeration DateNovember 26, 2024
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
NPI 1053137760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
255 W 112TH PL, Chicago, IL 60628

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2190051

Prentice Place Labs · Chicago, IL
Active · expires Aug 9, 2026
CLIA Number14D2190051
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorPrentice Earl
Laboratory Phone(773) 391-3123
Laboratory LocationPrentice Place Labs255 W 112th Place, Chicago, IL 60628
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
255 W 112TH PL
CHICAGO, IL 60628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prentice Place's NPI number?

The NPI number for Prentice Place is 1053137760. It was assigned to this organization in the NPPES registry on November 26, 2024.

Where is Prentice Place located?

Prentice Place is located at 255 W 112th Pl, Chicago, IL 60628. The listed phone number is (773) 391-3123.

What is Prentice Place's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Prentice Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2190051) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prentice Place was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.