14D0892234 CLIA NUMBER - ABELARDO J JARAVA MD

Laboratory Demographics

  • CLIA Code: 14D0892234
  • Facility Name: ABELARDO J JARAVA MD
  • Facility Address: 3336 N ASHLAND AVENUE
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 312 472-2936
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABELARDO J. JARAVA MD
  • NPI Number: 1740595198
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0892234
LAB Type Physician Office
Facility Name ABELARDO J JARAVA MD
Street 3336 N ASHLAND AVENUE
City CHICAGO
State IL
ZIP 60657
Phone 312 472-2936
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director ABELARDO J. JARAVA MD

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