CLIA lab
CLIA 14D0964905: Sandeep Chandra MD SC
Burbank, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0964905 belongs to Sandeep Chandra MD SC in Burbank, IL.
Certificate of Waiver, effective September 7, 2025, expires September 6, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 1999
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0964905
- Lab name
- Sandeep Chandra MD SC
- Address
- 5331 W 79th Street, Burbank, IL 60459
- Phone
- (708) 422-9577
- Fax
- (708) 422-8101
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Exceptional CareCertificate of Waiver, Skilled nursing or nursing facility14D2040455
- FMC Dialysis Services of BurbankCertificate of Waiver, End stage renal disease dialysis facility14D1008924
- Garden Center ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D2198251
- Med Elite Medical Center & Urgent CareCertificate of Waiver, Physician office14D2329811
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- Midwest Express Care 2, IncCertificate of Waiver, Other14D2238273
- Osco Drug #4060Certificate of Waiver, Pharmacy14D1032738
Related
Questions
What is the CLIA number for Sandeep Chandra MD SC in Burbank?
14D0964905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sandeep Chandra MD SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D0964905 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.