14D1061273 CLIA NUMBER - SHEHZAD ALI M D S C

Laboratory Demographics

  • CLIA Code: 14D1061273
  • Facility Name: SHEHZAD ALI M D S C
  • Facility Address: 4646 N MARINE DRIVE - C6200
    CHICAGO, IL
    ZIP 60640
  • Facility Phone: 773 564-5313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEHZAD ALI M D
  • NPI Number: 1548233117
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1061273
LAB Type Physician Office
Facility Name SHEHZAD ALI M D S C
Street 4646 N MARINE DRIVE - C6200
City CHICAGO
State IL
ZIP 60640
Phone 773 564-5313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director SHEHZAD ALI M D

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