14D0417081 CLIA NUMBER - MIDWEST VASCULAR & PAIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 14D0417081
  • Facility Name: MIDWEST VASCULAR & PAIN SPECIALISTS
  • Facility Address: 3200 W HIGGINS RD - STE 101
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 847 750-6877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAJDE DABAH
  • NPI Number: 1053425454
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0417081
LAB Type Physician Office
Facility Name MIDWEST VASCULAR & PAIN SPECIALISTS
Street 3200 W HIGGINS RD - STE 101
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 847 750-6877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director WAJDE DABAH

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