14D0961469 CLIA NUMBER - SHAHRIAR DADKHAH MD, SC

Laboratory Demographics

  • CLIA Code: 14D0961469
  • Facility Name: SHAHRIAR DADKHAH MD, SC
  • Facility Address: 7126 N LINCOLN AVE
    LINCOLNWOOD, IL
    ZIP 60712
  • Facility Phone: 847 864-6666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHRIAR DADKHAH MD
  • NPI Number: 1922046978
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0961469
LAB Type Physician Office
Facility Name SHAHRIAR DADKHAH MD, SC
Street 7126 N LINCOLN AVE
City LINCOLNWOOD
State IL
ZIP 60712
Phone 847 864-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director SHAHRIAR DADKHAH MD

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