14D0949122 CLIA NUMBER - HARIVADAN K GANDHI MD SC

Laboratory Demographics

  • CLIA Code: 14D0949122
  • Facility Name: HARIVADAN K GANDHI MD SC
  • Facility Address: 7906 S CRANDON - STE 1
    CHICAGO, IL
    ZIP 60617
  • Facility Phone: 773 488-7744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARIVADAN K. GANDHI
  • NPI Number: 1164525499
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0949122
LAB Type Physician Office
Facility Name HARIVADAN K GANDHI MD SC
Street 7906 S CRANDON - STE 1
City CHICAGO
State IL
ZIP 60617
Phone 773 488-7744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director HARIVADAN K. GANDHI

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