14D0970762 CLIA NUMBER - SMAIN SADOK MD SC

Laboratory Demographics

  • CLIA Code: 14D0970762
  • Facility Name: SMAIN SADOK MD SC
  • Facility Address: 3844 WEST 63RD ST
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 773 284-8601
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SMAIN SADOK MD
  • NPI Number: 1891916383
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0970762
LAB Type Physician Office
Facility Name SMAIN SADOK MD SC
Street 3844 WEST 63RD ST
City CHICAGO
State IL
ZIP 60629
Phone 773 284-8601
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director SMAIN SADOK MD

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