14D2243022 CLIA NUMBER - MAK LABORATORY INC

Laboratory Demographics

  • CLIA Code: 14D2243022
  • Facility Name: MAK LABORATORY INC
  • Facility Address: 3553 W PETERSON AVE - STE 302
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 773 739-7028
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SYED ANWAR
  • NPI Number: 1548926512
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2243022
LAB Type Independent
Facility Name MAK LABORATORY INC
Street 3553 W PETERSON AVE - STE 302
City CHICAGO
State IL
ZIP 60659
Phone 773 739-7028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Independent
Lab Director SYED ANWAR

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