14D0434167 CLIA NUMBER - SHABBIR A SHAIKH MD MED SURGICAL CLINC

Laboratory Demographics

  • CLIA Code: 14D0434167
  • Facility Name: SHABBIR A SHAIKH MD MED SURGICAL CLINC
  • Facility Address: 5003 N ILLINOIS ST - STE 2
    FAIRVIEW HEIGHTS, IL
    ZIP 62208
  • Facility Phone: 618 233-5000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHABBIR A. SHAIKH MD
  • NPI Number: 1053337568
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0434167
LAB Type Practitioner Other
Facility Name SHABBIR A SHAIKH MD MED SURGICAL CLINC
Street 5003 N ILLINOIS ST - STE 2
City FAIRVIEW HEIGHTS
State IL
ZIP 62208
Phone 618 233-5000
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 Practitioner Other
Lab Director SHABBIR A. SHAIKH 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