14D0968737 CLIA NUMBER - EVOLVE PEDIATRICS L L C

Laboratory Demographics

  • CLIA Code: 14D0968737
  • Facility Name: EVOLVE PEDIATRICS L L C
  • Facility Address: 10743 W 159TH STREET
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 349-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIANA GIGEA
  • NPI Number: 1700075454
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0968737
LAB Type Physician Office
Facility Name EVOLVE PEDIATRICS L L C
Street 10743 W 159TH STREET
City ORLAND PARK
State IL
ZIP 60467
Phone 708 349-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director MARIANA GIGEA

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