14D0948200 CLIA NUMBER - SINAI MED GROUP AT SINAI COMMUNITY INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D0948200
  • Facility Name: SINAI MED GROUP AT SINAI COMMUNITY INSTITUTE
  • Facility Address: 2653 W OGDEN AVE, STE 3-A
    CHICAGO, IL
    ZIP 60608
  • Facility Phone: 773 257-6463
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IHAB AZIZ MD
  • NPI Number: 1376715896
  • Taxonomy: 283X00000X - Rehabilitation Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0948200
LAB Type Physician Office
Facility Name SINAI MED GROUP AT SINAI COMMUNITY INSTITUTE
Street 2653 W OGDEN AVE, STE 3-A
City CHICAGO
State IL
ZIP 60608
Phone 773 257-6463
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director IHAB AZIZ 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