14D0998149 CLIA NUMBER - SHAHBAIN INTERNAL MEDICINE LTD

Laboratory Demographics

  • CLIA Code: 14D0998149
  • Facility Name: SHAHBAIN INTERNAL MEDICINE LTD
  • Facility Address: 12508 S HARLEM AVE, STE C
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 671-1685
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABDUL HAMID SHAHBAIN
  • NPI Number: 1295924439
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0998149
LAB Type Physician Office
Facility Name SHAHBAIN INTERNAL MEDICINE LTD
Street 12508 S HARLEM AVE, STE C
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 671-1685
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director ABDUL HAMID SHAHBAIN

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