14D1029588 CLIA NUMBER - LAWRENCE LINDEMAN MD SC

Laboratory Demographics

  • CLIA Code: 14D1029588
  • Facility Name: LAWRENCE LINDEMAN MD SC
  • Facility Address: 2255 W ROSCOE
    CHICAGO, IL
    ZIP 60618
  • Facility Phone: 773 832-1081
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAWRENCE A. LINDEMAN
  • NPI Number: 1386643864
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1029588
LAB Type Physician Office
Facility Name LAWRENCE LINDEMAN MD SC
Street 2255 W ROSCOE
City CHICAGO
State IL
ZIP 60618
Phone 773 832-1081
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 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director LAWRENCE A. LINDEMAN

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