14D1078323 CLIA NUMBER - KEHOE & DJORDJEVIC S C

Laboratory Demographics

  • CLIA Code: 14D1078323
  • Facility Name: KEHOE & DJORDJEVIC S C
  • Facility Address: 1725 W HARRISON, SUITE 106
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-3798
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DRAGAN DJORDJEVIC MD
  • NPI Number: 1073769261
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1078323
LAB Type Physician Office
Facility Name KEHOE & DJORDJEVIC S C
Street 1725 W HARRISON, SUITE 106
City CHICAGO
State IL
ZIP 60612
Phone 312 942-3798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director DRAGAN DJORDJEVIC MD

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