14D2312920 CLIA NUMBER - LAKE FOREST ACADEMY COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 14D2312920
  • Facility Name: LAKE FOREST ACADEMY COMMUNITY HEALTH CENTER
  • Facility Address: 1500 KENNEDY RD
    LAKE FOREST, IL
    ZIP 60045
  • Facility Phone: 847 615-4770
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MUNISHA M. BHATIA
  • NPI Number: 1831169945
  • Taxonomy: 261QM2500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2312920
LAB Type School/Student Health Service
Facility Name LAKE FOREST ACADEMY COMMUNITY HEALTH CENTER
Street 1500 KENNEDY RD
City LAKE FOREST
State IL
ZIP 60045
Phone 847 615-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type School/Student Health Service
Lab Director MUNISHA M. BHATIA

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