14D1004634 CLIA NUMBER - KIM AND CALVERT MD SC

Laboratory Demographics

  • CLIA Code: 14D1004634
  • Facility Name: KIM AND CALVERT MD SC
  • Facility Address: 7600 WEST COLLEGE DRIVE
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 448-2438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER J. CALVERT M D
  • NPI Number: 1235352840
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D1004634
LAB Type Physician Office
Facility Name KIM AND CALVERT MD SC
Street 7600 WEST COLLEGE DRIVE
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 448-2438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director CHRISTOPHER J. CALVERT M D

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