14D1081974 CLIA NUMBER - FORWARD FOCUS MEDICAL CARE L L C

Laboratory Demographics

  • CLIA Code: 14D1081974
  • Facility Name: FORWARD FOCUS MEDICAL CARE L L C
  • Facility Address: 990 S WAUKEGAN RD - STE 200
    LAKE FOREST, IL
    ZIP 60045
  • Facility Phone: 847 234-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY E. SHAFFEL
  • NPI Number: 1245314616
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1081974
LAB Type Physician Office
Facility Name FORWARD FOCUS MEDICAL CARE L L C
Street 990 S WAUKEGAN RD - STE 200
City LAKE FOREST
State IL
ZIP 60045
Phone 847 234-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Physician Office
Lab Director GARY E. SHAFFEL

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