14D0414081 CLIA NUMBER - PEDIATRIC MEDICAL SERVICES SC

Laboratory Demographics

  • CLIA Code: 14D0414081
  • Facility Name: PEDIATRIC MEDICAL SERVICES SC
  • Facility Address: 9669 KENTON AVE SUITE 403
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 674-4730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUN BUM KIM, MD
  • NPI Number: 1053535591
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0414081
LAB Type Physician Office
Facility Name PEDIATRIC MEDICAL SERVICES SC
Street 9669 KENTON AVE SUITE 403
City SKOKIE
State IL
ZIP 60076
Phone 847 674-4730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director SUN BUM KIM, MD

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