14D0856955 CLIA NUMBER - SUBURBAN PEDIATRICS LTD

Laboratory Demographics

  • CLIA Code: 14D0856955
  • Facility Name: SUBURBAN PEDIATRICS LTD
  • Facility Address: 9000 WAUKEGAN RD, STE 240
    MORTON GROVE, IL
    ZIP 60053
  • Facility Phone: 847 296-8127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL GRAHAM
  • NPI Number: 1316952765
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0856955
LAB Type Physician Office
Facility Name SUBURBAN PEDIATRICS LTD
Street 9000 WAUKEGAN RD, STE 240
City MORTON GROVE
State IL
ZIP 60053
Phone 847 296-8127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Physician Office
Lab Director NEIL GRAHAM

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