14D0945905 CLIA NUMBER - MEDSTAR LABORATORY INC

Laboratory Demographics

  • CLIA Code: 14D0945905
  • Facility Name: MEDSTAR LABORATORY INC
  • Facility Address: 4531 WEST HARRISON STREET
    HILLSIDE, IL
    ZIP 60162
  • Facility Phone: 708 488-1000
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: PRAVIN H. PATEL
  • NPI Number: 1144202003
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D0945905
LAB Type Independent
Facility Name MEDSTAR LABORATORY INC
Street 4531 WEST HARRISON STREET
City HILLSIDE
State IL
ZIP 60162
Phone 708 488-1000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/16/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director PRAVIN H. PATEL

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