14D0984722 CLIA NUMBER - LINCOLN SQUARE PEDIATRICS (D/B/A) OMNI HEALTH PC

Laboratory Demographics

  • CLIA Code: 14D0984722
  • Facility Name: LINCOLN SQUARE PEDIATRICS (D/B/A) OMNI HEALTH PC
  • Facility Address: 2515 W LAWRENCE AVE
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 989-3344
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ZAKI A. SIDDIQUI
  • NPI Number: 1255487641
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0984722
LAB Type Physician Office
Facility Name LINCOLN SQUARE PEDIATRICS (D/B/A) OMNI HEALTH PC
Street 2515 W LAWRENCE AVE
City CHICAGO
State IL
ZIP 60625
Phone 773 989-3344
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 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director DR. ZAKI A. SIDDIQUI

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This page was last updated on: 6/4/2025