14D0983152 CLIA NUMBER - NANDRA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 14D0983152
  • Facility Name: NANDRA FAMILY PRACTICE
  • Facility Address: 115 E SOUTH-UNIT F (ROUTE 34)
    PLANO, IL
    ZIP 60545
  • Facility Phone: 630 552-7166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUKHTAR S. NANDRA
  • NPI Number: 1629203534
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0983152
LAB Type Physician Office
Facility Name NANDRA FAMILY PRACTICE
Street 115 E SOUTH-UNIT F (ROUTE 34)
City PLANO
State IL
ZIP 60545
Phone 630 552-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director MUKHTAR S. NANDRA

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