14D0421526 CLIA NUMBER - ALL STAR PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 14D0421526
  • Facility Name: ALL STAR PEDIATRICS PC
  • Facility Address: 6410 JOLIET RD, STE 3
    COUNTRYSIDE, IL
    ZIP 60525
  • Facility Phone: 708 352-4448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA M. LASKONIS D O
  • NPI Number: 1962419937
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0421526
LAB Type Physician Office
Facility Name ALL STAR PEDIATRICS PC
Street 6410 JOLIET RD, STE 3
City COUNTRYSIDE
State IL
ZIP 60525
Phone 708 352-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director LAURA M. LASKONIS D O

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