14D0996574 CLIA NUMBER - M D CARE CENTER S C

Laboratory Demographics

  • CLIA Code: 14D0996574
  • Facility Name: M D CARE CENTER S C
  • Facility Address: 5067 N LINCOLN AVE, 1S
    CHICAGO, IL
    ZIP 60625
  • Facility Phone: 773 878-6550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MILENKO LAZAREVIC, MD
  • NPI Number: 1518158138
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0996574
LAB Type Physician Office
Facility Name M D CARE CENTER S C
Street 5067 N LINCOLN AVE, 1S
City CHICAGO
State IL
ZIP 60625
Phone 773 878-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director MILENKO LAZAREVIC, MD

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