14D0959550 CLIA NUMBER - DEEPAK BAKANE S C

Laboratory Demographics

  • CLIA Code: 14D0959550
  • Facility Name: DEEPAK BAKANE S C
  • Facility Address: 100 BATSON COURT, SUITE 204
    NEW LENOX, IL
    ZIP 60451
  • Facility Phone: 815 462-1200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPAK B. BAKANE MD
  • NPI Number: 1780766097
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0959550
LAB Type Physician Office
Facility Name DEEPAK BAKANE S C
Street 100 BATSON COURT, SUITE 204
City NEW LENOX
State IL
ZIP 60451
Phone 815 462-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director DEEPAK B. BAKANE MD

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