14D0413868 CLIA NUMBER - PARK RIDGE PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 14D0413868
  • Facility Name: PARK RIDGE PEDIATRICS PC
  • Facility Address: 101 S WASHINGTON AVE STE 122
    PARK RIDGE, IL
    ZIP 60068
  • Facility Phone: (847) 692-6628
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA R. HRYCELAK
  • NPI Number: 1518979327
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0413868
LAB Type Physician Office
Facility Name PARK RIDGE PEDIATRICS PC
Street 101 S WASHINGTON AVE STE 122
City PARK RIDGE
State IL
ZIP 60068
Phone 8476926628
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2025
Certificate Expiration Date 10/25/2027
Facility Type Physician Office
Lab Director MARIA R. HRYCELAK

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This page was last updated on: 5/18/2026