14D2007817 CLIA NUMBER - ADVANCED MIDWEST MEDICAL

Laboratory Demographics

  • CLIA Code: 14D2007817
  • Facility Name: ADVANCED MIDWEST MEDICAL
  • Facility Address: 1585 N BARRINGTON RD, STE 501
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 847 490-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJIV K. SOOD
  • NPI Number: 1326084245
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2007817
LAB Type Physician Office
Facility Name ADVANCED MIDWEST MEDICAL
Street 1585 N BARRINGTON RD, STE 501
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 847 490-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director RAJIV K. SOOD

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This page was last updated on: 3/20/2025