14D0920066 CLIA NUMBER - ALI MOHIUDDIN MD

Laboratory Demographics

  • CLIA Code: 14D0920066
  • Facility Name: ALI MOHIUDDIN MD
  • Facility Address: 257 N SCHMIDT RD
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 759-9065
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI MOHIUDDIN MD
  • NPI Number: 1154346609
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0920066
LAB Type Physician Office
Facility Name ALI MOHIUDDIN MD
Street 257 N SCHMIDT RD
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 759-9065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director ALI MOHIUDDIN MD

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