14D0987361 CLIA NUMBER - TWENTY FIRST CENTURY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D0987361
  • Facility Name: TWENTY FIRST CENTURY PEDIATRICS
  • Facility Address: 6010 IL - 53 STE D
    LISLE, IL
    ZIP 60532
  • Facility Phone: 630 778-8800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN SANKARI
  • NPI Number: 1699801696
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D0987361
LAB Type Physician Office
Facility Name TWENTY FIRST CENTURY PEDIATRICS
Street 6010 IL - 53 STE D
City LISLE
State IL
ZIP 60532
Phone 630 778-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director SUSAN SANKARI

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