14D2311408 CLIA NUMBER - AL-ZOUBAIDI VEIN & VASCULAR CENTER OF SOUTHERN IL

Laboratory Demographics

  • CLIA Code: 14D2311408
  • Facility Name: AL-ZOUBAIDI VEIN & VASCULAR CENTER OF SOUTHERN IL
  • Facility Address: 4119 S WATER TOWER PLC - STE A
    MOUNT VERNON, IL
    ZIP 62864
  • Facility Phone: 618 816-6006
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MOHAMMED AL-ZOUBAIDI
  • NPI Number: 1710734090
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2311408
LAB Type Physician Office
Facility Name AL-ZOUBAIDI VEIN & VASCULAR CENTER OF SOUTHERN IL
Street 4119 S WATER TOWER PLC - STE A
City MOUNT VERNON
State IL
ZIP 62864
Phone 618 816-6006
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 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director MOHAMMED AL-ZOUBAIDI

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