14D0427727 CLIA NUMBER - LAKESIDE NEPHROLOGY LTD

Laboratory Demographics

  • CLIA Code: 14D0427727
  • Facility Name: LAKESIDE NEPHROLOGY LTD
  • Facility Address: 2277 WEST HOWARD STREET
    CHICAGO, IL
    ZIP 60645
  • Facility Phone: 773 508-0110
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARNOLD S. BERNS MD
  • NPI Number: 1588827208
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D0427727
LAB Type Physician Office
Facility Name LAKESIDE NEPHROLOGY LTD
Street 2277 WEST HOWARD STREET
City CHICAGO
State IL
ZIP 60645
Phone 773 508-0110
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director ARNOLD S. BERNS MD

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