14D0875616 CLIA NUMBER - ANDREW B REPASY MD

Laboratory Demographics

  • CLIA Code: 14D0875616
  • Facility Name: ANDREW B REPASY MD
  • Facility Address: 680 N LAKE SHORE DRIVE SUITE 118
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 503-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW B. REPASY MD
  • NPI Number: 1942383872
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0875616
LAB Type Physician Office
Facility Name ANDREW B REPASY MD
Street 680 N LAKE SHORE DRIVE SUITE 118
City CHICAGO
State IL
ZIP 60611
Phone 312 503-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ANDREW B. REPASY 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