14D0681246 CLIA NUMBER - MIDWEST ALLERGY INC

Laboratory Demographics

  • CLIA Code: 14D0681246
  • Facility Name: MIDWEST ALLERGY INC
  • Facility Address: 10031 W ROOSEVELT RD, STE 100
    WESTCHESTER, IL
    ZIP 60154
  • Facility Phone: 708 344-3550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD T K GHANI MD
  • NPI Number: 1356642912
  • Taxonomy: 207RA0201X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0681246
LAB Type Physician Office
Facility Name MIDWEST ALLERGY INC
Street 10031 W ROOSEVELT RD, STE 100
City WESTCHESTER
State IL
ZIP 60154
Phone 708 344-3550
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 MOHAMMAD T K GHANI 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