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14D0419858 CLIA NUMBER - M D PEDIATRIC CENTER SC

Laboratory Demographics

CLIA Number: 14D0419858

Facility Name: M D PEDIATRIC CENTER SC

Facility Address:
4400 W 95TH ST, STE 104
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 708 425-2880

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1316341720

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 14D0419858
LAB Type Physician Office
Facility Name M D PEDIATRIC CENTER SC
Street 4400 W 95TH ST, STE 104
City OAK LAWN
State IL
ZIP 60453
Phone 708 425-2880
CertificateType 4
CertificateEffectiveDate 9/28/2023
CertificateExpirationDate 9/27/2025
FacilityType Waiver

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