14D2164768 CLIA NUMBER - RAPHAEL MEDICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 14D2164768
  • Facility Name: RAPHAEL MEDICAL SERVICES INC
  • Facility Address: 6307 S STEWART - STE 303 304 305
    CHICAGO, IL
    ZIP 60621
  • Facility Phone: 773 776-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYOADE AKERE M D
  • NPI Number: 1821566977
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2164768
LAB Type Physician Office
Facility Name RAPHAEL MEDICAL SERVICES INC
Street 6307 S STEWART - STE 303 304 305
City CHICAGO
State IL
ZIP 60621
Phone 773 776-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director AYOADE AKERE M D

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