14D2276241 CLIA NUMBER - MALAPATI INC

Laboratory Demographics

  • CLIA Code: 14D2276241
  • Facility Name: MALAPATI INC
  • Facility Address: 5600 W ADDISON ST LL003
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 708 722-2572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREMESH MALAPATI
  • NPI Number: 1790161289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2276241
LAB Type Physician Office
Facility Name MALAPATI INC
Street 5600 W ADDISON ST LL003
City CHICAGO
State IL
ZIP 60634
Phone 708 722-2572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director PREMESH MALAPATI

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