14D1019578 CLIA NUMBER - CHANDRA DIAGNOSTIC CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 14D1019578
  • Facility Name: CHANDRA DIAGNOSTIC CARDIOLOGY
  • Facility Address: 3330 W 177TH STREET, #3E
    HAZEL CREST, IL
    ZIP 60429
  • Facility Phone: 708 798-4500
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LOKESH CHANDRA
  • NPI Number: 1336162783
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1019578
LAB Type Independent
Facility Name CHANDRA DIAGNOSTIC CARDIOLOGY
Street 3330 W 177TH STREET, #3E
City HAZEL CREST
State IL
ZIP 60429
Phone 708 798-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Independent
Lab Director LOKESH CHANDRA

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