14D1054695 CLIA NUMBER - KRISHNA SUNKARA M D S C

Laboratory Demographics

  • CLIA Code: 14D1054695
  • Facility Name: KRISHNA SUNKARA M D S C
  • Facility Address: 17680 S KEDZIE AVE STE 101
    HAZEL CREST, IL
    ZIP 60429
  • Facility Phone: 708 799-7990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISHNA SUNKARA MD
  • NPI Number: 1154328185
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1054695
LAB Type Physician Office
Facility Name KRISHNA SUNKARA M D S C
Street 17680 S KEDZIE AVE STE 101
City HAZEL CREST
State IL
ZIP 60429
Phone 708 799-7990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director KRISHNA SUNKARA MD

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