14D1028012 CLIA NUMBER - ANCHOR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D1028012
  • Facility Name: ANCHOR PEDIATRICS
  • Facility Address: 550 N MIDLOTHIAN RD - SUITE 400
    MUNDELEIN, IL
    ZIP 60060
  • Facility Phone: 847 837-1923
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEBA A. ANTONY
  • NPI Number: 1134328123
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1028012
LAB Type Physician Office
Facility Name ANCHOR PEDIATRICS
Street 550 N MIDLOTHIAN RD - SUITE 400
City MUNDELEIN
State IL
ZIP 60060
Phone 847 837-1923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director SHEBA A. ANTONY

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