14D2056249 CLIA NUMBER - LAKE FOREST ACUTE CARE

Laboratory Demographics

  • CLIA Code: 14D2056249
  • Facility Name: LAKE FOREST ACUTE CARE
  • Facility Address: 1025 W EVERETT RD
    LAKE FOREST, IL
    ZIP 60045
  • Facility Phone: 847 234-7950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK E. MASS
  • NPI Number: 1215379524
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2056249
LAB Type Physician Office
Facility Name LAKE FOREST ACUTE CARE
Street 1025 W EVERETT RD
City LAKE FOREST
State IL
ZIP 60045
Phone 847 234-7950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director MARK E. MASS

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