14D2137866 CLIA NUMBER - IMMEDIATE HOME CARE PHYSICIAN INC

Laboratory Demographics

  • CLIA Code: 14D2137866
  • Facility Name: IMMEDIATE HOME CARE PHYSICIAN INC
  • Facility Address: 10516 S ROBERTS RD
    PALOS HILLS, IL
    ZIP 60465
  • Facility Phone: 708 631-1326
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: RAJENDER S. DAHIYA MD
  • NPI Number: 1225670748
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2137866
LAB Type Independent
Facility Name IMMEDIATE HOME CARE PHYSICIAN INC
Street 10516 S ROBERTS RD
City PALOS HILLS
State IL
ZIP 60465
Phone 708 631-1326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type Independent
Lab Director RAJENDER S. DAHIYA MD

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