14D0412981 CLIA NUMBER - LAKE FOREST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D0412981
  • Facility Name: LAKE FOREST PEDIATRICS
  • Facility Address: 917 SHERWOOD DR
    LAKE BLUFF, IL
    ZIP 60044
  • Facility Phone: 847 295-1220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEROME O. KALTMAN MD
  • NPI Number: 1316984107
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0412981
LAB Type Physician Office
Facility Name LAKE FOREST PEDIATRICS
Street 917 SHERWOOD DR
City LAKE BLUFF
State IL
ZIP 60044
Phone 847 295-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director JEROME O. KALTMAN 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