14D1047387 CLIA NUMBER - AHS IL MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 14D1047387
  • Facility Name: AHS IL MEDICAL GROUP LLC
  • Facility Address: 1261 UNIVERSITY DRIVE, SUITE 1
    EDWARDSVILLE, IL
    ZIP 62025
  • Facility Phone: 618 655-9523
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUNDA ELKHATIB
  • NPI Number: 1659098101
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1047387
LAB Type Physician Office
Facility Name AHS IL MEDICAL GROUP LLC
Street 1261 UNIVERSITY DRIVE, SUITE 1
City EDWARDSVILLE
State IL
ZIP 62025
Phone 618 655-9523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director RUNDA ELKHATIB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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