14D2014038 CLIA NUMBER - METROEAST ENDOSCOPIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 14D2014038
  • Facility Name: METROEAST ENDOSCOPIC SURGERY CENTER
  • Facility Address: 5023 N ILLINOIS ST, STE 3
    FAIRVIEW HEIGHTS, IL
    ZIP 62208
  • Facility Phone: 618 239-0678
  • Facility Type: Other - ENDOSCOPY CENTER
  • Facility Type: Waiver
  • Lab Director: DR. SHAKEEL AHMED
  • NPI Number: 1356650915
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2014038
LAB Type Other - ENDOSCOPY CENTER
Facility Name METROEAST ENDOSCOPIC SURGERY CENTER
Street 5023 N ILLINOIS ST, STE 3
City FAIRVIEW HEIGHTS
State IL
ZIP 62208
Phone 618 239-0678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - ENDOSCOPY CENTER
Lab Director DR. SHAKEEL AHMED

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