14D2065983 CLIA NUMBER - LAKEVIEW PEDIATRICS L L C

Laboratory Demographics

  • CLIA Code: 14D2065983
  • Facility Name: LAKEVIEW PEDIATRICS L L C
  • Facility Address: 1333 W BELMONT AVE, STE 310
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 880-1738
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINE JANOWIAK
  • NPI Number: 1700931136
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2065983
LAB Type Physician Office
Facility Name LAKEVIEW PEDIATRICS L L C
Street 1333 W BELMONT AVE, STE 310
City CHICAGO
State IL
ZIP 60657
Phone 773 880-1738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director CHRISTINE JANOWIAK

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