14D2243358 CLIA NUMBER - SAFWAT ISKANDER MD LTD

Laboratory Demographics

  • CLIA Code: 14D2243358
  • Facility Name: SAFWAT ISKANDER MD LTD
  • Facility Address: 400 N WALL ST - STE 312
    KANKAKEE, IL
    ZIP 60901
  • Facility Phone: 815 933-3200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAFWAT G. ISKANDER
  • NPI Number: 1194781112
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2243358
LAB Type Physician Office
Facility Name SAFWAT ISKANDER MD LTD
Street 400 N WALL ST - STE 312
City KANKAKEE
State IL
ZIP 60901
Phone 815 933-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director SAFWAT G. ISKANDER

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