14D0419858 CLIA NUMBER - M D PEDIATRIC CENTER SC

Laboratory Demographics

  • CLIA Code: 14D0419858
  • Facility Name: M D PEDIATRIC CENTER SC
  • Facility Address: 4400 W 95TH ST, STE 104
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 425-2880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMPRAKASH D. SAWLANI MD
  • NPI Number: 1316341720
  • Taxonomy: 208000000X - Pediatrics

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director OMPRAKASH D. SAWLANI MD

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This page was last updated on: 9/29/2025