14D2301003 CLIA NUMBER - JENNIFER VIRANT, MD

Laboratory Demographics

  • CLIA Code: 14D2301003
  • Facility Name: JENNIFER VIRANT, MD
  • Facility Address: 680 N LAKE SHORE DR - STE 118
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 470-8990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER VIRANT
  • NPI Number: 1053371567
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2301003
LAB Type Physician Office
Facility Name JENNIFER VIRANT, MD
Street 680 N LAKE SHORE DR - STE 118
City CHICAGO
State IL
ZIP 60611
Phone 312 470-8990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director JENNIFER VIRANT

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