14D2032112 CLIA NUMBER - FOX LAKE FOOT CARE LTD

Laboratory Demographics

  • CLIA Code: 14D2032112
  • Facility Name: FOX LAKE FOOT CARE LTD
  • Facility Address: 214 WASHINGTON ST STE 3
    INGLESIDE, IL
    ZIP 60041
  • Facility Phone: 847 587-3221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TEGAN A. THIMESCH DPM
  • NPI Number: 1699053967
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2032112
LAB Type Physician Office
Facility Name FOX LAKE FOOT CARE LTD
Street 214 WASHINGTON ST STE 3
City INGLESIDE
State IL
ZIP 60041
Phone 847 587-3221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director TEGAN A. THIMESCH DPM

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