14D0961021 CLIA NUMBER - ALZEIN MEDICAL LTD

Laboratory Demographics

  • CLIA Code: 14D0961021
  • Facility Name: ALZEIN MEDICAL LTD
  • Facility Address: 2850 W 95TH ST #400
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 424-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLENE SYNOGA
  • NPI Number: 1194914093
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0961021
LAB Type Physician Office
Facility Name ALZEIN MEDICAL LTD
Street 2850 W 95TH ST #400
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 424-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director CHARLENE SYNOGA

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