14D0678228 CLIA NUMBER - STREETERVILLE PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D0678228
  • Facility Name: STREETERVILLE PEDIATRICS SC
  • Facility Address: 233 E ERIE ST STE 304
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 280-1480
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONALD K. BROWN MD
  • NPI Number: 1225070691
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0678228
LAB Type Physician Office
Facility Name STREETERVILLE PEDIATRICS SC
Street 233 E ERIE ST STE 304
City CHICAGO
State IL
ZIP 60611
Phone 312 280-1480
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DONALD K. BROWN MD

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