14D2158342 CLIA NUMBER - WESTEROS FAMILY PRACTICE, L T D

Laboratory Demographics

  • CLIA Code: 14D2158342
  • Facility Name: WESTEROS FAMILY PRACTICE, L T D
  • Facility Address: 366 E BURLINGTON
    RIVERSIDE, IL
    ZIP 60546
  • Facility Phone: 708 442-7174
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRYNA SEREMBYTSKY M D
  • NPI Number: 1780131227
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2158342
LAB Type Physician Office
Facility Name WESTEROS FAMILY PRACTICE, L T D
Street 366 E BURLINGTON
City RIVERSIDE
State IL
ZIP 60546
Phone 708 442-7174
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director IRYNA SEREMBYTSKY M D

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