14D0936035 CLIA NUMBER - VADIM EDELSTEIN MD LTD

Laboratory Demographics

  • CLIA Code: 14D0936035
  • Facility Name: VADIM EDELSTEIN MD LTD
  • Facility Address: 4555 OAKTON STREET
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: (847) 982-9988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VADIM EDELSTEIN MD
  • NPI Number: 1912951617
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0936035
LAB Type Physician Office
Facility Name VADIM EDELSTEIN MD LTD
Street 4555 OAKTON STREET
City SKOKIE
State IL
ZIP 60076
Phone 8479829988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2025
Certificate Expiration Date 11/13/2027
Facility Type Physician Office
Lab Director VADIM EDELSTEIN MD

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This page was last updated on: 5/18/2026