14D0414429 CLIA NUMBER - MILOSLAVA M KYNCL MD SC

Laboratory Demographics

  • CLIA Code: 14D0414429
  • Facility Name: MILOSLAVA M KYNCL MD SC
  • Facility Address: 700 S LEWIS AVE SUITE 210
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 662-7788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MILOSLAVA M. KYNCL
  • NPI Number: 1245223734
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0414429
LAB Type Physician Office
Facility Name MILOSLAVA M KYNCL MD SC
Street 700 S LEWIS AVE SUITE 210
City WAUKEGAN
State IL
ZIP 60085
Phone 847 662-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director MILOSLAVA M. KYNCL

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