14D0961021 CLIA NUMBER - ALZEIN MEDICAL LTD

Laboratory Demographics

CLIA Number: 14D0961021

Facility Name: ALZEIN MEDICAL LTD

Facility Address:
2850 W 95TH ST #400
EVERGREEN PARK, IL
ZIP 60805
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Facility Phone Number: 708 424-7600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194914093

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType 4
CertificateEffectiveDate 5/25/2023
CertificateExpirationDate 5/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024