14D2268721 CLIA NUMBER - LAKE-COOK HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 14D2268721
  • Facility Name: LAKE-COOK HEALTHCARE SERVICES
  • Facility Address: 2698 BELVIDERE RD #A01B
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 868-3003
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINDA A. TANNI
  • NPI Number: 1356925929
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2268721
LAB Type Practitioner Other
Facility Name LAKE-COOK HEALTHCARE SERVICES
Street 2698 BELVIDERE RD #A01B
City WAUKEGAN
State IL
ZIP 60085
Phone 847 868-3003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Practitioner Other
Lab Director LINDA A. TANNI

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