14D2193248 CLIA NUMBER - ELITE ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 14D2193248
  • Facility Name: ELITE ENDOCRINOLOGY
  • Facility Address: 7447 W TALCOTT AVE #551
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: 630 866-3636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAHID KASSAR M D
  • NPI Number: 1356961304
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2193248
LAB Type Physician Office
Facility Name ELITE ENDOCRINOLOGY
Street 7447 W TALCOTT AVE #551
City CHICAGO
State IL
ZIP 60631
Phone 630 866-3636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director WAHID KASSAR M D

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