14D0998865 CLIA NUMBER - CHILDRENS WELLNESS CTR LLC

Laboratory Demographics

  • CLIA Code: 14D0998865
  • Facility Name: CHILDRENS WELLNESS CTR LLC
  • Facility Address: 16505 S 106TH COURT
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 636-8747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNA MASSIH MD
  • NPI Number: 1578748067
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0998865
LAB Type Physician Office
Facility Name CHILDRENS WELLNESS CTR LLC
Street 16505 S 106TH COURT
City ORLAND PARK
State IL
ZIP 60467
Phone 708 636-8747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director LYNA MASSIH MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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