14D0945981 CLIA NUMBER - DIABETES CARE, ENDOCRINE & METABOLISM

Laboratory Demographics

  • CLIA Code: 14D0945981
  • Facility Name: DIABETES CARE, ENDOCRINE & METABOLISM
  • Facility Address: 2955 WEST 95TH ST
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 422-0022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMMAR BAYRAKDAR MD
  • NPI Number: 1689627168
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0945981
LAB Type Physician Office
Facility Name DIABETES CARE, ENDOCRINE & METABOLISM
Street 2955 WEST 95TH ST
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 422-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director AMMAR BAYRAKDAR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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