CLIA lab

CLIA 14D0979694: Kyung S Kim MD

Niles, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D0979694 belongs to Kyung S Kim MD in Niles, IL.

Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.

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 of Waiver
Certificate effective
October 30, 2024
Certificate expiration
October 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 2000
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
14D0979694
Lab name
Kyung S Kim MD
Address
241 Golf Mill Center-Suite 202, Niles, IL 60714
Phone
(847) 375-8090
Fax
(847) 375-8108

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.

Other labs in Niles, IL

Related

Questions

What is the CLIA number for Kyung S Kim MD in Niles?

14D0979694, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kyung S Kim MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D0979694 expire?

The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.

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