14D1092241 CLIA NUMBER - CHADEN SBAI MD SC

Laboratory Demographics

  • CLIA Code: 14D1092241
  • Facility Name: CHADEN SBAI MD SC
  • Facility Address: 6703 W 159TH ST STE 105
    TINLEY PARK, IL
    ZIP 60477
  • Facility Phone: 708 444-8593
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHADEN SBAI MD
  • NPI Number: 1992704100
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1092241
LAB Type Physician Office
Facility Name CHADEN SBAI MD SC
Street 6703 W 159TH ST STE 105
City TINLEY PARK
State IL
ZIP 60477
Phone 708 444-8593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director CHADEN SBAI MD

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