14D0993879 CLIA NUMBER - NIRAV P CHUDGAR MD SC

Laboratory Demographics

  • CLIA Code: 14D0993879
  • Facility Name: NIRAV P CHUDGAR MD SC
  • Facility Address: 1600 167TH ST, STE 200
    CALUMET CITY, IL
    ZIP 60409
  • Facility Phone: 708 832-0244
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRAV P. CHUDGAR
  • NPI Number: 1780763805
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0993879
LAB Type Physician Office
Facility Name NIRAV P CHUDGAR MD SC
Street 1600 167TH ST, STE 200
City CALUMET CITY
State IL
ZIP 60409
Phone 708 832-0244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director NIRAV P. CHUDGAR

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