14D0424167 CLIA NUMBER - HARRISON MEDICAL CENTER-M AHMED MD SC

Laboratory Demographics

  • CLIA Code: 14D0424167
  • Facility Name: HARRISON MEDICAL CENTER-M AHMED MD SC
  • Facility Address: 2803 W HARRISON STREET
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 773 533-5523
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED I. AHMED
  • NPI Number: 1427515014
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0424167
LAB Type Physician Office
Facility Name HARRISON MEDICAL CENTER-M AHMED MD SC
Street 2803 W HARRISON STREET
City CHICAGO
State IL
ZIP 60612
Phone 773 533-5523
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 MOHAMMED I. AHMED

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