14D2240316 CLIA NUMBER - RAINBOW LAB INC

Laboratory Demographics

  • CLIA Code: 14D2240316
  • Facility Name: RAINBOW LAB INC
  • Facility Address: 4001 W DEVON AVE - STE 322
    CHICAGO, IL
    ZIP 60646
  • Facility Phone: 779 713-7137
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MAHMOOD KHAJA SYED
  • NPI Number: 1053074757
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2240316
LAB Type Independent
Facility Name RAINBOW LAB INC
Street 4001 W DEVON AVE - STE 322
City CHICAGO
State IL
ZIP 60646
Phone 779 713-7137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Independent
Lab Director MAHMOOD KHAJA SYED

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