14D2155164 CLIA NUMBER - EUGENE POMERANETS M D S C

Laboratory Demographics

  • CLIA Code: 14D2155164
  • Facility Name: EUGENE POMERANETS M D S C
  • Facility Address: 500 PARK AVE - STE 104
    LAKE VILLA, IL
    ZIP 60046
  • Facility Phone: 847 245-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE POMERANETS M D
  • NPI Number: 1770579005
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2155164
LAB Type Physician Office
Facility Name EUGENE POMERANETS M D S C
Street 500 PARK AVE - STE 104
City LAKE VILLA
State IL
ZIP 60046
Phone 847 245-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director EUGENE POMERANETS M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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