14D1012096 CLIA NUMBER - MILLENNIUM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D1012096
  • Facility Name: MILLENNIUM PEDIATRICS
  • Facility Address: 2712 FORGUE DR - STE 100
    NAPERVILLE, IL
    ZIP 60564
  • Facility Phone: 630 548-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD OLSEN MD
  • NPI Number: 1992870984
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1012096
LAB Type Physician Office
Facility Name MILLENNIUM PEDIATRICS
Street 2712 FORGUE DR - STE 100
City NAPERVILLE
State IL
ZIP 60564
Phone 630 548-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director CHAD OLSEN MD

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