14D0418311 CLIA NUMBER - MIDTOWN PHYSICIANS SC

Laboratory Demographics

  • CLIA Code: 14D0418311
  • Facility Name: MIDTOWN PHYSICIANS SC
  • Facility Address: 6538 W CERMAK RD
    BERWYN, IL
    ZIP 60402
  • Facility Phone: 708 452-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DILIP P. PATEL
  • NPI Number: 1295792877
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0418311
LAB Type Physician Office
Facility Name MIDTOWN PHYSICIANS SC
Street 6538 W CERMAK RD
City BERWYN
State IL
ZIP 60402
Phone 708 452-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DILIP P. PATEL

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