14D0675295 CLIA NUMBER - BAYSIDE CARE CENTER LLP

Laboratory Demographics

  • CLIA Code: 14D0675295
  • Facility Name: BAYSIDE CARE CENTER LLP
  • Facility Address: 1100 S LEWIS AVE
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 244-8196
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RIA NAVARRO
  • NPI Number: 1912029521
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 14D0675295
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYSIDE CARE CENTER LLP
Street 1100 S LEWIS AVE
City WAUKEGAN
State IL
ZIP 60085
Phone 847 244-8196
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 RIA NAVARRO

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