14D1030736 CLIA NUMBER - ADVANCED PEDIATRIC CARE LTD

Laboratory Demographics

  • CLIA Code: 14D1030736
  • Facility Name: ADVANCED PEDIATRIC CARE LTD
  • Facility Address: 300 N READ ST - SUITE D
    LOCKPORT, IL
    ZIP 60441
  • Facility Phone: 815 838-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA CHRISTINE N. BAYANG
  • NPI Number: 1881769123
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1030736
LAB Type Physician Office
Facility Name ADVANCED PEDIATRIC CARE LTD
Street 300 N READ ST - SUITE D
City LOCKPORT
State IL
ZIP 60441
Phone 815 838-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director MARIA CHRISTINE N. BAYANG

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