14D0981143 CLIA NUMBER - ALMUQTADIR INC/HOMEWOOD PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D0981143
  • Facility Name: ALMUQTADIR INC/HOMEWOOD PEDIATRIC ASSOCIATES
  • Facility Address: 17901 GOVERNORS HWY - STE 208
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 798-1665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZEBA SHAKIR
  • NPI Number: 1124607833
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0981143
LAB Type Physician Office
Facility Name ALMUQTADIR INC/HOMEWOOD PEDIATRIC ASSOCIATES
Street 17901 GOVERNORS HWY - STE 208
City HOMEWOOD
State IL
ZIP 60430
Phone 708 798-1665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director ZEBA SHAKIR

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