14D0426487 CLIA NUMBER - TAMID MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 14D0426487
  • Facility Name: TAMID MEDICAL GROUP
  • Facility Address: 3825 N CENTRAL AVE
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 282-6188
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOM KLEIN MD
  • NPI Number: 1861412702
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0426487
LAB Type Physician Office
Facility Name TAMID MEDICAL GROUP
Street 3825 N CENTRAL AVE
City CHICAGO
State IL
ZIP 60634
Phone 773 282-6188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director TOM KLEIN MD

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