14D1054876 CLIA NUMBER - ASHRAF ABOURAHMA MD LTD

Laboratory Demographics

  • CLIA Code: 14D1054876
  • Facility Name: ASHRAF ABOURAHMA MD LTD
  • Facility Address: 5702 W 95TH STREET, SUITE B
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 952-1040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHRAF H. ABOURAHMA
  • NPI Number: 1972561975
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1054876
LAB Type Physician Office
Facility Name ASHRAF ABOURAHMA MD LTD
Street 5702 W 95TH STREET, SUITE B
City OAK LAWN
State IL
ZIP 60453
Phone 708 952-1040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director ASHRAF H. ABOURAHMA

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