14D1061305 CLIA NUMBER - SMRITI GOEL M D S C

Laboratory Demographics

  • CLIA Code: 14D1061305
  • Facility Name: SMRITI GOEL M D S C
  • Facility Address: 707 LAKE COOK ROAD, SUITE 260
    DEERFIELD, IL
    ZIP 60015
  • Facility Phone: (847) 564-0055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SMRITI GOEL M D
  • NPI Number: 1972559516
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1061305
LAB Type Physician Office
Facility Name SMRITI GOEL M D S C
Street 707 LAKE COOK ROAD, SUITE 260
City DEERFIELD
State IL
ZIP 60015
Phone 8475640055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director SMRITI GOEL M D

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This page was last updated on: 5/18/2026