14D2318040 CLIA NUMBER - LAKEVIEW IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2318040
  • Facility Name: LAKEVIEW IMMEDIATE CARE
  • Facility Address: 3122 N ASHLAND AVE
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 224 364-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA CAPLAN
  • NPI Number: 1679140321
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2318040
LAB Type Physician Office
Facility Name LAKEVIEW IMMEDIATE CARE
Street 3122 N ASHLAND AVE
City CHICAGO
State IL
ZIP 60657
Phone 224 364-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director AMANDA CAPLAN

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