14D0913601 CLIA NUMBER - PREVENTIVE PEDIATRICS LTD

Laboratory Demographics

  • CLIA Code: 14D0913601
  • Facility Name: PREVENTIVE PEDIATRICS LTD
  • Facility Address: 10448 S PULLASKI RD
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 346-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN P. CUEVA
  • NPI Number: 1578580429
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0913601
LAB Type Physician Office
Facility Name PREVENTIVE PEDIATRICS LTD
Street 10448 S PULLASKI RD
City OAK LAWN
State IL
ZIP 60453
Phone 708 346-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director JOHN P. CUEVA

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