14D2103019 CLIA NUMBER - HEYER DEVARAPALLI MD

Laboratory Demographics

  • CLIA Code: 14D2103019
  • Facility Name: HEYER DEVARAPALLI MD
  • Facility Address: 1601 TANGLEWOOD AVE, STE 106
    HANOVER PARK, IL
    ZIP 60133
  • Facility Phone: 630 289-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEYER C. DEVARAPALLI MD
  • NPI Number: 1588704381
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2103019
LAB Type Physician Office
Facility Name HEYER DEVARAPALLI MD
Street 1601 TANGLEWOOD AVE, STE 106
City HANOVER PARK
State IL
ZIP 60133
Phone 630 289-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director HEYER C. DEVARAPALLI MD

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