14D2281122 CLIA NUMBER - SUSAN L KIM MEDICAL ASSOCIATE PLLC

Laboratory Demographics

  • CLIA Code: 14D2281122
  • Facility Name: SUSAN L KIM MEDICAL ASSOCIATE PLLC
  • Facility Address: 2601 COMPASS RD - STE 135
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 712-0477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN L. KIM
  • NPI Number: 1568643211
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2281122
LAB Type Physician Office
Facility Name SUSAN L KIM MEDICAL ASSOCIATE PLLC
Street 2601 COMPASS RD - STE 135
City GLENVIEW
State IL
ZIP 60026
Phone 847 712-0477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director SUSAN L. KIM

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