14D2274277 CLIA NUMBER - AMERICAN MEDICAL LAB - JACKSON PARK

Laboratory Demographics

  • CLIA Code: 14D2274277
  • Facility Name: AMERICAN MEDICAL LAB - JACKSON PARK
  • Facility Address: 7531 S STONY ISLAND AVE
    CHICAGO, IL
    ZIP 60649
  • Facility Phone: 708 926-2116
  • Facility Type: Blood Bank
  • Facility Type: Accreditation
  • Lab Director: SAMER DOLA
  • NPI Number: 1699173013
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2274277
LAB Type Blood Bank
Facility Name AMERICAN MEDICAL LAB - JACKSON PARK
Street 7531 S STONY ISLAND AVE
City CHICAGO
State IL
ZIP 60649
Phone 708 926-2116
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 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Blood Bank
Lab Director SAMER DOLA

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