14D0042416 CLIA NUMBER - LUTHERAN GENERAL HOSPITAL LABORATORY DEPARTMENT OF PATHOLOGY

Laboratory Demographics

  • CLIA Code: 14D0042416
  • Facility Name: LUTHERAN GENERAL HOSPITAL LABORATORY DEPARTMENT OF PATHOLOGY
  • Facility Address: 1775 W DEMPSTER ST
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: 847 723-5263
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MICHAEL R. PINS
  • NPI Number: 1801809306
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0042416
LAB Type Hospital
Facility Name LUTHERAN GENERAL HOSPITAL LABORATORY DEPARTMENT OF PATHOLOGY
Street 1775 W DEMPSTER ST
City PARK RIDGE
State IL
ZIP 60068
Phone 847 723-5263
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 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. MICHAEL R. PINS

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