14D0724404 CLIA NUMBER - LAKE COUNTY DIALYSIS SERVICES

Laboratory Demographics

  • CLIA Code: 14D0724404
  • Facility Name: LAKE COUNTY DIALYSIS SERVICES
  • Facility Address: 565 LAKEVIEW PKWY, STE 176
    VERNON HILLS, IL
    ZIP 60061
  • Facility Phone: 847 918-0592
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEON SUJATA MD
  • NPI Number: 1265401475
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0724404
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAKE COUNTY DIALYSIS SERVICES
Street 565 LAKEVIEW PKWY, STE 176
City VERNON HILLS
State IL
ZIP 60061
Phone 847 918-0592
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 End Stage Renal Disease Dialysis Facility
Lab Director LEON SUJATA 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