14D2016872 CLIA NUMBER - CIMPAR SC - OAK PARK

Laboratory Demographics

  • CLIA Code: 14D2016872
  • Facility Name: CIMPAR SC - OAK PARK
  • Facility Address: 101 MADISON ST - STE 300
    OAK PARK, IL
    ZIP 60302
  • Facility Phone: 708 486-2710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHEERAJ MAHAJAN
  • NPI Number: 1467496224
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2016872
LAB Type Physician Office
Facility Name CIMPAR SC - OAK PARK
Street 101 MADISON ST - STE 300
City OAK PARK
State IL
ZIP 60302
Phone 708 486-2710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director DHEERAJ MAHAJAN

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