14D0919768 CLIA NUMBER - NIKUNJ P VAISHNAV MD

Laboratory Demographics

  • CLIA Code: 14D0919768
  • Facility Name: NIKUNJ P VAISHNAV MD
  • Facility Address: 15040 S RAVINA AVENUE SUITE 40
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 460-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIKUNJ P. VAISHNAV
  • NPI Number: 1780613877
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0919768
LAB Type Physician Office
Facility Name NIKUNJ P VAISHNAV MD
Street 15040 S RAVINA AVENUE SUITE 40
City ORLAND PARK
State IL
ZIP 60462
Phone 708 460-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director NIKUNJ P. VAISHNAV

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