14D0691035 CLIA NUMBER - ASHOK B PHADKE MD

Laboratory Demographics

  • CLIA Code: 14D0691035
  • Facility Name: ASHOK B PHADKE MD
  • Facility Address: 2031 EAST GRAND AVENUE
    LINDENHURST, IL
    ZIP 60046
  • Facility Phone: 847 356-5575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUE GORALSKI
  • NPI Number: 1457348187
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0691035
LAB Type Physician Office
Facility Name ASHOK B PHADKE MD
Street 2031 EAST GRAND AVENUE
City LINDENHURST
State IL
ZIP 60046
Phone 847 356-5575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director SUE GORALSKI

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