14D2320823 CLIA NUMBER - AVICENNA HEALTH CENTER CORP

Laboratory Demographics

  • CLIA Code: 14D2320823
  • Facility Name: AVICENNA HEALTH CENTER CORP
  • Facility Address: 10419 S ROBERTS RD
    PALOS HILLS, IL
    ZIP 60465
  • Facility Phone: 708 581-5151
  • Facility Type: Other - COMMUNITY HEALTH SCREEN
  • Facility Type: Waiver
  • Lab Director: WAHEEB YASSIN
  • NPI Number: 1194431916
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D2320823
LAB Type Other - COMMUNITY HEALTH SCREEN
Facility Name AVICENNA HEALTH CENTER CORP
Street 10419 S ROBERTS RD
City PALOS HILLS
State IL
ZIP 60465
Phone 708 581-5151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Other - COMMUNITY HEALTH SCREEN
Lab Director WAHEEB YASSIN

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