14D0414504 CLIA NUMBER - LAKE PARK CENTER

Laboratory Demographics

  • CLIA Code: 14D0414504
  • Facility Name: LAKE PARK CENTER
  • Facility Address: 919 WASHINGTON PARK
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: (847) 623-9100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SACHIN JAIN M D
  • NPI Number: 1568413821
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 14D0414504
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKE PARK CENTER
Street 919 WASHINGTON PARK
City WAUKEGAN
State IL
ZIP 60085
Phone 8476239100
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 Skilled Nursing Facility/Nursing Facility
Lab Director SACHIN JAIN M D

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This page was last updated on: 5/18/2026