14D2035513 CLIA NUMBER - CARDIOVASCULAR CARE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 14D2035513
  • Facility Name: CARDIOVASCULAR CARE CONSULTANTS
  • Facility Address: 15300 WEST AVE - STE 23
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 576-8150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURENDRA B. AVULA
  • NPI Number: 1164704805
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2035513
LAB Type Physician Office
Facility Name CARDIOVASCULAR CARE CONSULTANTS
Street 15300 WEST AVE - STE 23
City ORLAND PARK
State IL
ZIP 60462
Phone 708 576-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director SURENDRA B. AVULA

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