14D2242196 CLIA NUMBER - MIDWEST LAB LLC

Laboratory Demographics

  • CLIA Code: 14D2242196
  • Facility Name: MIDWEST LAB LLC
  • Facility Address: 6124 N MILWAUKEE AVE - STE 1
    CHICAGO, IL
    ZIP 60646
  • Facility Phone: 224 636-3637
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SADIA KHAN
  • NPI Number: 1780349746
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2242196
LAB Type Independent
Facility Name MIDWEST LAB LLC
Street 6124 N MILWAUKEE AVE - STE 1
City CHICAGO
State IL
ZIP 60646
Phone 224 636-3637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director SADIA KHAN

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