14D1053356 CLIA NUMBER - SAMEH NABELSI MD SC

Laboratory Demographics

  • CLIA Code: 14D1053356
  • Facility Name: SAMEH NABELSI MD SC
  • Facility Address: 19624 GOVERNORS HIGHWAY, SUITE 9
    FLOSSMOOR, IL
    ZIP 60422
  • Facility Phone: 708 647-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMEH NABELSI
  • NPI Number: 1518923515
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1053356
LAB Type Physician Office
Facility Name SAMEH NABELSI MD SC
Street 19624 GOVERNORS HIGHWAY, SUITE 9
City FLOSSMOOR
State IL
ZIP 60422
Phone 708 647-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Physician Office
Lab Director SAMEH NABELSI

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