14D0960997 CLIA NUMBER - SINAI MEDICAL GROUP/LAWNDALE PLAZA MED

Laboratory Demographics

  • CLIA Code: 14D0960997
  • Facility Name: SINAI MEDICAL GROUP/LAWNDALE PLAZA MED
  • Facility Address: 1108 S KEDZIE
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 773 722-2712
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IHAB AZIZ MD
  • NPI Number: 1225125677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0960997
LAB Type Physician Office
Facility Name SINAI MEDICAL GROUP/LAWNDALE PLAZA MED
Street 1108 S KEDZIE
City CHICAGO
State IL
ZIP 60612
Phone 773 722-2712
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 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director IHAB AZIZ MD

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