14D0424261 CLIA NUMBER - ASHOK SHAH MD

Laboratory Demographics

  • CLIA Code: 14D0424261
  • Facility Name: ASHOK SHAH MD
  • Facility Address: 1624 W MONTROSE
    CHICAGO, IL
    ZIP 60613
  • Facility Phone: 778 769-3338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHOK SHAH
  • NPI Number: 1790079234
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0424261
LAB Type Physician Office
Facility Name ASHOK SHAH MD
Street 1624 W MONTROSE
City CHICAGO
State IL
ZIP 60613
Phone 778 769-3338
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 ASHOK SHAH

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