14D1004637 CLIA NUMBER - DINESH JAIN MD

Laboratory Demographics

  • CLIA Code: 14D1004637
  • Facility Name: DINESH JAIN MD
  • Facility Address: 16532 S OAK PARK AVE - SUITE 101
    TINLEY PARK, IL
    ZIP 60477
  • Facility Phone: 708 429-2220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DINESH JAIN, MD
  • NPI Number: 1255330361
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1004637
LAB Type Physician Office
Facility Name DINESH JAIN MD
Street 16532 S OAK PARK AVE - SUITE 101
City TINLEY PARK
State IL
ZIP 60477
Phone 708 429-2220
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 DINESH JAIN, MD

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