14D1001047 CLIA NUMBER - PEDIATRIC CENTRAL SC

Laboratory Demographics

  • CLIA Code: 14D1001047
  • Facility Name: PEDIATRIC CENTRAL SC
  • Facility Address: 385 WEST NORTHWEST HIGHWAY
    PALATINE, IL
    ZIP 60067
  • Facility Phone: 847 359-9800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ABDUL MALHES
  • NPI Number: 1366565756
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1001047
LAB Type Physician Office
Facility Name PEDIATRIC CENTRAL SC
Street 385 WEST NORTHWEST HIGHWAY
City PALATINE
State IL
ZIP 60067
Phone 847 359-9800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director ABDUL MALHES

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