14D2255434 CLIA NUMBER - RAM PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 14D2255434
  • Facility Name: RAM PLASTIC SURGERY
  • Facility Address: 4025 N ELSTON AVE
    CHICAGO, IL
    ZIP 60618
  • Facility Phone: 312 337-3010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAMSEN AZIZI
  • NPI Number: 1326496449
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2255434
LAB Type Ambulatory Surgery Center
Facility Name RAM PLASTIC SURGERY
Street 4025 N ELSTON AVE
City CHICAGO
State IL
ZIP 60618
Phone 312 337-3010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Ambulatory Surgery Center
Lab Director RAMSEN AZIZI

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