14D0412570 CLIA NUMBER - ROBERT L BAKER MD

Laboratory Demographics

  • CLIA Code: 14D0412570
  • Facility Name: ROBERT L BAKER MD
  • Facility Address: 291 W PETERSON ROAD
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 541-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. BAKER MD
  • NPI Number: 1477926343
  • Taxonomy: 2255A2300X - Specialist/Technologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0412570
LAB Type Physician Office
Facility Name ROBERT L BAKER MD
Street 291 W PETERSON ROAD
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 541-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT L. BAKER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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