14D1006081 CLIA NUMBER - SATWANT S KINGRA MD SC

Laboratory Demographics

  • CLIA Code: 14D1006081
  • Facility Name: SATWANT S KINGRA MD SC
  • Facility Address: 2733 W 87TH STREET
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 424-1153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATWANT S. KINGRA M D
  • NPI Number: 1942394499
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1006081
LAB Type Physician Office
Facility Name SATWANT S KINGRA MD SC
Street 2733 W 87TH STREET
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 424-1153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director SATWANT S. KINGRA M D

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