14D2151547 CLIA NUMBER - SOUTH CAMPUS PARTNERS

Laboratory Demographics

  • CLIA Code: 14D2151547
  • Facility Name: SOUTH CAMPUS PARTNERS
  • Facility Address: 15300 WEST AVE - BLDG A - GROUND LEVEL
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 873-2450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMER ABDELRHMAN M D
  • NPI Number: 1194220897
  • Taxonomy: 261QX0203X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2151547
LAB Type Physician Office
Facility Name SOUTH CAMPUS PARTNERS
Street 15300 WEST AVE - BLDG A - GROUND LEVEL
City ORLAND PARK
State IL
ZIP 60462
Phone 708 873-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director TAMER ABDELRHMAN M D

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