14D2015621 CLIA NUMBER - ANA GAVRILOVICI MD

Laboratory Demographics

  • CLIA Code: 14D2015621
  • Facility Name: ANA GAVRILOVICI MD
  • Facility Address: 6400 N KEATING
    LINCOLNWOOD, IL
    ZIP 60712
  • Facility Phone: 847 568-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANA D. GAVRILOVICI
  • NPI Number: 1144220864
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2015621
LAB Type Physician Office
Facility Name ANA GAVRILOVICI MD
Street 6400 N KEATING
City LINCOLNWOOD
State IL
ZIP 60712
Phone 847 568-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director DR. ANA D. GAVRILOVICI

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