14D0429248 CLIA NUMBER - ABC PEDIATRICS OF KANKAKEE COUNTY

Laboratory Demographics

  • CLIA Code: 14D0429248
  • Facility Name: ABC PEDIATRICS OF KANKAKEE COUNTY
  • Facility Address: 370 LARRY POWER RD - STE 1
    BOURBONNAIS, IL
    ZIP 60914
  • Facility Phone: 815 937-3515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOU S. KIM MD
  • NPI Number: 1225041445
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0429248
LAB Type Physician Office
Facility Name ABC PEDIATRICS OF KANKAKEE COUNTY
Street 370 LARRY POWER RD - STE 1
City BOURBONNAIS
State IL
ZIP 60914
Phone 815 937-3515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director YOU S. KIM MD

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