14D0932177 CLIA NUMBER - HAROLD JAIMES MD PC

Laboratory Demographics

  • CLIA Code: 14D0932177
  • Facility Name: HAROLD JAIMES MD PC
  • Facility Address: 3800 HIGHLAND AVE SUITE 111
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 630 932-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAROLD JAIMES MD
  • NPI Number: 1487841904
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0932177
LAB Type Physician Office
Facility Name HAROLD JAIMES MD PC
Street 3800 HIGHLAND AVE SUITE 111
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 932-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2023
Certificate Expiration Date 8/13/2025
Facility Type Physician Office
Lab Director HAROLD JAIMES MD

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This page was last updated on: 3/20/2025