14D1048770 CLIA NUMBER - BISKUP & SEGUI PEDIATRIC PARTNERS P C

Laboratory Demographics

  • CLIA Code: 14D1048770
  • Facility Name: BISKUP & SEGUI PEDIATRIC PARTNERS P C
  • Facility Address: 20325 S GRACELAND LANE
    FRANKFORT, IL
    ZIP 60423
  • Facility Phone: 815 469-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLE A. BISKUP
  • NPI Number: 1124134622
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1048770
LAB Type Physician Office
Facility Name BISKUP & SEGUI PEDIATRIC PARTNERS P C
Street 20325 S GRACELAND LANE
City FRANKFORT
State IL
ZIP 60423
Phone 815 469-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director NICOLE A. BISKUP

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