14D2254049 CLIA NUMBER - STAR MEDICAL LAB

Laboratory Demographics

  • CLIA Code: 14D2254049
  • Facility Name: STAR MEDICAL LAB
  • Facility Address: 211 E LAKE ST - STE 1A
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 630 501-0160
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. AYMAN IBRAHIM
  • NPI Number: 1245997931
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2254049
LAB Type Independent
Facility Name STAR MEDICAL LAB
Street 211 E LAKE ST - STE 1A
City ADDISON
State IL
ZIP 60101
Phone 630 501-0160
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Independent
Lab Director DR. AYMAN IBRAHIM

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