14D0993880 CLIA NUMBER - NORTH SHORE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D0993880
  • Facility Name: NORTH SHORE PEDIATRICS
  • Facility Address: 9933 LAWLER AVE - SUITE 305
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 626-0303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TATYANA KAGAN MD
  • NPI Number: 1467737882
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0993880
LAB Type Physician Office
Facility Name NORTH SHORE PEDIATRICS
Street 9933 LAWLER AVE - SUITE 305
City SKOKIE
State IL
ZIP 60077
Phone 847 626-0303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director TATYANA KAGAN MD

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