14D2285321 CLIA NUMBER - BRIGHTSIDE - NORTHBROOK

Laboratory Demographics

  • CLIA Code: 14D2285321
  • Facility Name: BRIGHTSIDE - NORTHBROOK
  • Facility Address: 333 SKOKIE BLVD - STE 112
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 602 248-8886
  • Facility Type: Other - OUTPATIENT TREATMENT PROG
  • Facility Type: Waiver
  • Lab Director: JUSTIN M. ABEYTA
  • NPI Number: 1629514120
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2285321
LAB Type Other - OUTPATIENT TREATMENT PROG
Facility Name BRIGHTSIDE - NORTHBROOK
Street 333 SKOKIE BLVD - STE 112
City NORTHBROOK
State IL
ZIP 60062
Phone 602 248-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Other - OUTPATIENT TREATMENT PROG
Lab Director JUSTIN M. ABEYTA

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