14D2143293 CLIA NUMBER - EATING RECOVERY CENTER INSIGHT BEHAVIORAL HLTH CTR

Laboratory Demographics

CLIA Code: 14D2143293
Facility Name: EATING RECOVERY CENTER INSIGHT BEHAVIORAL HLTH CTR
Facility Address: 1 E ERIE ST FLR 4 - STE 400
CHICAGO, IL
ZIP 60611
Facility Phone: 312 858-6690
Facility Type: Other - BEHAVIORAL HEALTH FACILIT
Facility Type: Waiver
Lab Director: LARA KENIK
NPI Number: 1659814192
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	14D2143293
LAB Type	Other - BEHAVIORAL HEALTH FACILIT
Facility Name	EATING RECOVERY CENTER INSIGHT BEHAVIORAL HLTH CTR
Street	1 E ERIE ST FLR 4 - STE 400
City	CHICAGO
State	IL
ZIP	60611
Phone	312 858-6690
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/26/2024
Certificate Expiration Date	1/25/2026
Facility Type	Other - BEHAVIORAL HEALTH FACILIT
Lab Director	LARA KENIK

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