14D1058342 CLIA NUMBER - IRINA DUDAR M D

Laboratory Demographics

  • CLIA Code: 14D1058342
  • Facility Name: IRINA DUDAR M D
  • Facility Address: 4433 W TOUHY AVE STE. 235
    LINCOLNWOOD, IL
    ZIP 60712
  • Facility Phone: 847 972-2202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRINA O. DUDAR
  • NPI Number: 1689600835
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D1058342
LAB Type Physician Office
Facility Name IRINA DUDAR M D
Street 4433 W TOUHY AVE STE. 235
City LINCOLNWOOD
State IL
ZIP 60712
Phone 847 972-2202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Physician Office
Lab Director IRINA O. DUDAR

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