14D0646513 CLIA NUMBER - INGALLS MEMORIAL HOSP PATHOLOGY & LABORATORY MED

Laboratory Demographics

  • CLIA Code: 14D0646513
  • Facility Name: INGALLS MEMORIAL HOSP PATHOLOGY & LABORATORY MED
  • Facility Address: ONE INGALLS DRIVE
    HARVEY, IL
    ZIP 60426
  • Facility Phone: 708 915-5763
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SAMER A. DOLA
  • NPI Number: 1245776988
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0646513
LAB Type Hospital
Facility Name INGALLS MEMORIAL HOSP PATHOLOGY & LABORATORY MED
Street ONE INGALLS DRIVE
City HARVEY
State IL
ZIP 60426
Phone 708 915-5763
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. SAMER A. DOLA

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