CLIA lab
CLIA 14D0704367: Lisa Kim Medical Associates SC
Park Ridge, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0704367 belongs to Lisa Kim Medical Associates SC in Park Ridge, IL.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0704367
- Lab name
- Lisa Kim Medical Associates SC
- Address
- 2604 Dempster Suite 300, Park Ridge, IL 60068
- Phone
- (708) 296-1200
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advocate Center for Fetal CareCertificate of Waiver, Physician office14D2330229
- Advocate Infusion Center - Park RidgeCertificate of Waiver, Physician office14D0980388
- Advocate Lutheran General HospitalCertificate of Accreditation, Hospital14D0042416
- Advocate Lutheran General HospitalCertificate for Provider-Performed Microscopy Procedures, Hospital14D2090517
- Advocate Lutheran General HospitalCertificate of Waiver, Physician office14D2126262
- Advocate Lutheran General HospitalCertificate of Waiver, Other14D2330121
Related
Questions
What is the CLIA number for Lisa Kim Medical Associates SC in Park Ridge?
14D0704367, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lisa Kim Medical Associates SC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0704367 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.