14D2260155 CLIA NUMBER - CARDIOVASCULAR SERVICE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D2260155
  • Facility Name: CARDIOVASCULAR SERVICE ASSOCIATES
  • Facility Address: 5838 S HARLEM AVE
    SUMMIT, IL
    ZIP 60501
  • Facility Phone: 773 585-7505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOHDAN FEDIRKO
  • NPI Number: 1396799862
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2260155
LAB Type Physician Office
Facility Name CARDIOVASCULAR SERVICE ASSOCIATES
Street 5838 S HARLEM AVE
City SUMMIT
State IL
ZIP 60501
Phone 773 585-7505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director BOHDAN FEDIRKO

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