14D2162037 CLIA NUMBER - NORTHSHORE IMMEDIATE CARE LINCOLN VILLAGE

Laboratory Demographics

  • CLIA Code: 14D2162037
  • Facility Name: NORTHSHORE IMMEDIATE CARE LINCOLN VILLAGE
  • Facility Address: 6071 N LINCOLN AVE
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: (224) 364-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA J. CAPLAN M D
  • NPI Number: 1497416861
  • Taxonomy: 246RM2200X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 14D2162037
LAB Type Physician Office
Facility Name NORTHSHORE IMMEDIATE CARE LINCOLN VILLAGE
Street 6071 N LINCOLN AVE
City CHICAGO
State IL
ZIP 60659
Phone 2243642273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director AMANDA J. CAPLAN M D

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This page was last updated on: 5/18/2026