14D0976945 CLIA NUMBER - SWEDISH COVENANT MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D0976945
  • Facility Name: SWEDISH COVENANT MEDICAL ASSOCIATES
  • Facility Address: 2740 W FOSTER AVE, STE 316
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 878-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAYSHREE DHALI
  • NPI Number: 1407002108
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0976945
LAB Type Physician Office
Facility Name SWEDISH COVENANT MEDICAL ASSOCIATES
Street 2740 W FOSTER AVE, STE 316
City CHICAGO
State IL
ZIP 60625
Phone 773 878-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director DR. JAYSHREE DHALI

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