14D0419636 CLIA NUMBER - SAMUEL P MATHEW MD

Laboratory Demographics

  • CLIA Code: 14D0419636
  • Facility Name: SAMUEL P MATHEW MD
  • Facility Address: 14475 JOHN HUMPHREY DR - STE 100
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 206-0305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL P. MATHEW MD
  • NPI Number: 1801959705
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0419636
LAB Type Physician Office
Facility Name SAMUEL P MATHEW MD
Street 14475 JOHN HUMPHREY DR - STE 100
City ORLAND PARK
State IL
ZIP 60462
Phone 708 206-0305
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 SAMUEL P. MATHEW MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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