14D2078569 CLIA NUMBER - APM SURGICAL GROUP LTD

Laboratory Demographics

  • CLIA Code: 14D2078569
  • Facility Name: APM SURGICAL GROUP LTD
  • Facility Address: 2937 W 63RD ST
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 773 309-0141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEKSANDR GOLDVEKHT
  • NPI Number: 1184967614
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2078569
LAB Type Physician Office
Facility Name APM SURGICAL GROUP LTD
Street 2937 W 63RD ST
City CHICAGO
State IL
ZIP 60629
Phone 773 309-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director ALEKSANDR GOLDVEKHT

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