14D1045486 CLIA NUMBER - A M JABR MD SC

Laboratory Demographics

  • CLIA Code: 14D1045486
  • Facility Name: A M JABR MD SC
  • Facility Address: 2222 W DIVISION ST - STE 260
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 773 227-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYMAN JABR, MD
  • NPI Number: 1205027810
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1045486
LAB Type Physician Office
Facility Name A M JABR MD SC
Street 2222 W DIVISION ST - STE 260
City CHICAGO
State IL
ZIP 60622
Phone 773 227-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director AYMAN JABR, MD

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