14D0859863 CLIA NUMBER - PEDIATRIC ASSOCIATES OF ARLINGTON HTS

Laboratory Demographics

  • CLIA Code: 14D0859863
  • Facility Name: PEDIATRIC ASSOCIATES OF ARLINGTON HTS
  • Facility Address: 765 ELA ROAD, SUITE 102
    LAKE ZURICH, IL
    ZIP 60047
  • Facility Phone: 847 726-7656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LALAINE D. VITUG-PACIS
  • NPI Number: 1982327458
  • Taxonomy: 2251P0200X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 14D0859863
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF ARLINGTON HTS
Street 765 ELA ROAD, SUITE 102
City LAKE ZURICH
State IL
ZIP 60047
Phone 847 726-7656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director LALAINE D. VITUG-PACIS

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