14D0677903 CLIA NUMBER - DOWNERS GROVE PEDIATRICS LTD

Laboratory Demographics

  • CLIA Code: 14D0677903
  • Facility Name: DOWNERS GROVE PEDIATRICS LTD
  • Facility Address: 6840 S MAIN ST - SUITE 201
    DOWNERS GROVE, IL
    ZIP 60516
  • Facility Phone: 630 852-4551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. CABANA M D
  • NPI Number: 1912930769
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0677903
LAB Type Physician Office
Facility Name DOWNERS GROVE PEDIATRICS LTD
Street 6840 S MAIN ST - SUITE 201
City DOWNERS GROVE
State IL
ZIP 60516
Phone 630 852-4551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director JOHN D. CABANA M D

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