14D2307494 CLIA NUMBER - ADVANCED DIAGNOSTIC SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D2307494
  • Facility Name: ADVANCED DIAGNOSTIC SERVICES LLC
  • Facility Address: 3420 W PETERSON AVE SUITE 2
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 847 235-7035
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DINA AHRAM
  • NPI Number: 1770769390
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2307494
LAB Type Independent
Facility Name ADVANCED DIAGNOSTIC SERVICES LLC
Street 3420 W PETERSON AVE SUITE 2
City CHICAGO
State IL
ZIP 60659
Phone 847 235-7035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Independent
Lab Director DINA AHRAM

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