14D1103783 CLIA NUMBER - MORRIS HOSPITAL HEALTHCARE CTRS RIDGE

Laboratory Demographics

  • CLIA Code: 14D1103783
  • Facility Name: MORRIS HOSPITAL HEALTHCARE CTRS RIDGE
  • Facility Address: 27240 W SAXONY
    CHANNAHON, IL
    ZIP 60410
  • Facility Phone: 815 705-7550
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: FARRUKH AIJAZ
  • NPI Number: 1275648511
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 14D1103783
LAB Type Community Clinic
Facility Name MORRIS HOSPITAL HEALTHCARE CTRS RIDGE
Street 27240 W SAXONY
City CHANNAHON
State IL
ZIP 60410
Phone 815 705-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Community Clinic
Lab Director FARRUKH AIJAZ

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