14D1021059 CLIA NUMBER - SALUD PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D1021059
  • Facility Name: SALUD PEDIATRICS SC
  • Facility Address: 600 S RANDALL RD, SUITE 220
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 854-9402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNA E. BETANCOURT
  • NPI Number: 1801811757
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1021059
LAB Type Physician Office
Facility Name SALUD PEDIATRICS SC
Street 600 S RANDALL RD, SUITE 220
City ALGONQUIN
State IL
ZIP 60102
Phone 847 854-9402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director JOANNA E. BETANCOURT

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