14D0411499 CLIA NUMBER - RIVERSIDE MEDICAL SC

Laboratory Demographics

  • CLIA Code: 14D0411499
  • Facility Name: RIVERSIDE MEDICAL SC
  • Facility Address: 3405 N ARLINGTON HEIGHTS RD
    ARLINGTON HEIGHTS, IL
    ZIP 60004
  • Facility Phone: 847 577-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON THALHEIMER
  • NPI Number: 1295918795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0411499
LAB Type Physician Office
Facility Name RIVERSIDE MEDICAL SC
Street 3405 N ARLINGTON HEIGHTS RD
City ARLINGTON HEIGHTS
State IL
ZIP 60004
Phone 847 577-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director JASON THALHEIMER

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