14D1055158 CLIA NUMBER - LAWN OBSTETRICS & GYNECOLOGY S C

Laboratory Demographics

CLIA Number: 14D1055158

Facility Name: LAWN OBSTETRICS & GYNECOLOGY S C

Facility Address:
16609 S 107TH COURT
ORLAND PARK, IL
ZIP 60462
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Facility Phone Number: 708 645-8080

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1700095163

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D1055158
LAB Type	Physician Office
Facility Name	LAWN OBSTETRICS & GYNECOLOGY S C
Street	16609 S 107TH COURT
City	ORLAND PARK
State	IL
ZIP	60462
Phone	708 645-8080
CertificateType	3
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024