14D1005753 CLIA NUMBER - SUMMIT MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 14D1005753
  • Facility Name: SUMMIT MEDICAL CENTER
  • Facility Address: 6252 SOUTH ARCHER ROAD
    SUMMIT, IL
    ZIP 60501
  • Facility Phone: 708 496-9549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIRIT C. SHAH
  • NPI Number: 1679744643
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1005753
LAB Type Physician Office
Facility Name SUMMIT MEDICAL CENTER
Street 6252 SOUTH ARCHER ROAD
City SUMMIT
State IL
ZIP 60501
Phone 708 496-9549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director KIRIT C. SHAH

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