14D1016277 CLIA NUMBER - UNIVERSAL HEALTH LTD

Laboratory Demographics

  • CLIA Code: 14D1016277
  • Facility Name: UNIVERSAL HEALTH LTD
  • Facility Address: 1007 W LAWRENCE AVE
    CHICAGO, IL
    ZIP 60640
  • Facility Phone: 773 271-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIKS MAVASHEV
  • NPI Number: 1891975512
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1016277
LAB Type Physician Office
Facility Name UNIVERSAL HEALTH LTD
Street 1007 W LAWRENCE AVE
City CHICAGO
State IL
ZIP 60640
Phone 773 271-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director FELIKS MAVASHEV

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