14D2183012 CLIA NUMBER - SIDDHARTH TAMBAR, M D

Laboratory Demographics

  • CLIA Code: 14D2183012
  • Facility Name: SIDDHARTH TAMBAR, M D
  • Facility Address: 618 W FULTON
    CHICAGO, IL
    ZIP 60661
  • Facility Phone: 773 348-7171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIDDHARTH TAMBAR M D
  • NPI Number: 1477655488
  • Taxonomy: 207RR0500X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2183012
LAB Type Physician Office
Facility Name SIDDHARTH TAMBAR, M D
Street 618 W FULTON
City CHICAGO
State IL
ZIP 60661
Phone 773 348-7171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director SIDDHARTH TAMBAR M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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