14D0673568 CLIA NUMBER - MUNDELEIN PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D0673568
  • Facility Name: MUNDELEIN PEDIATRICS SC
  • Facility Address: 1170 EAST BELVIDERE ROAD #106
    GRAYSLAKE, IL
    ZIP 60030
  • Facility Phone: 847 548-7337
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHY A. SESKIEWICZ
  • NPI Number: 1336294800
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0673568
LAB Type Physician Office
Facility Name MUNDELEIN PEDIATRICS SC
Street 1170 EAST BELVIDERE ROAD #106
City GRAYSLAKE
State IL
ZIP 60030
Phone 847 548-7337
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director KATHY A. SESKIEWICZ

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