14D0868396 CLIA NUMBER - NORTH SUBURBAN PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D0868396
  • Facility Name: NORTH SUBURBAN PEDIATRICS SC
  • Facility Address: 2530 RIDGE AVENUE
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 847 869-0892
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. BENJAMIN D. KORNFELD
  • NPI Number: 1780729145
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0868396
LAB Type Physician Office
Facility Name NORTH SUBURBAN PEDIATRICS SC
Street 2530 RIDGE AVENUE
City EVANSTON
State IL
ZIP 60201
Phone 847 869-0892
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. BENJAMIN D. KORNFELD

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