14D2036643 CLIA NUMBER - PALOS INTERNISTS SC

Laboratory Demographics

  • CLIA Code: 14D2036643
  • Facility Name: PALOS INTERNISTS SC
  • Facility Address: 4647 W 103RD ST STE 2L
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 952-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SATINDER DALAWARI
  • NPI Number: 1942423660
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2036643
LAB Type Physician Office
Facility Name PALOS INTERNISTS SC
Street 4647 W 103RD ST STE 2L
City OAK LAWN
State IL
ZIP 60453
Phone 708 952-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director SATINDER DALAWARI

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