14D0866444 CLIA NUMBER - GABRIEL I BERLIN MD LLC

Laboratory Demographics

  • CLIA Code: 14D0866444
  • Facility Name: GABRIEL I BERLIN MD LLC
  • Facility Address: 3633 W LAKE AVENUE SUITE 302
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 998-5700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GABRIEL BERLIN
  • NPI Number: 1831296474
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0866444
LAB Type Physician Office
Facility Name GABRIEL I BERLIN MD LLC
Street 3633 W LAKE AVENUE SUITE 302
City GLENVIEW
State IL
ZIP 60026
Phone 847 998-5700
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GABRIEL BERLIN

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