14D0416506 CLIA NUMBER - WOODFIELD PEDIATRICS S C

Laboratory Demographics

CLIA Number: 14D0416506

Facility Name: WOODFIELD PEDIATRICS S C

Facility Address:
1345 WILEY RD SUITE 117
SCHAUMBURG, IL
ZIP 60173
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Facility Phone Number: 847 884-9440

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881609287

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	14D0416506
LAB Type	Physician Office
Facility Name	WOODFIELD PEDIATRICS S C
Street	1345 WILEY RD SUITE 117
City	SCHAUMBURG
State	IL
ZIP	60173
Phone	847 884-9440
CertificateType	4
CertificateEffectiveDate	10/25/2022
CertificateExpirationDate	10/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024