14D0896540 CLIA NUMBER - NORTH SHORE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 14D0896540
  • Facility Name: NORTH SHORE ENDOSCOPY CENTER
  • Facility Address: 101 WAUKEGAN ROAD SUITE 980
    LAKE BLUFF, IL
    ZIP 60044
  • Facility Phone: 847 604-8700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN ROSENBERG
  • NPI Number: 1497720999
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0896540
LAB Type Ambulatory Surgery Center
Facility Name NORTH SHORE ENDOSCOPY CENTER
Street 101 WAUKEGAN ROAD SUITE 980
City LAKE BLUFF
State IL
ZIP 60044
Phone 847 604-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Ambulatory Surgery Center
Lab Director JONATHAN ROSENBERG

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