14D1052048 CLIA NUMBER - 1-2-3 PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D1052048
  • Facility Name: 1-2-3 PEDIATRICS
  • Facility Address: 3925 75TH STREET, SUITE 105
    AURORA, IL
    ZIP 60504
  • Facility Phone: 630 978-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN LUE
  • NPI Number: 1609957018
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1052048
LAB Type Physician Office
Facility Name 1-2-3 PEDIATRICS
Street 3925 75TH STREET, SUITE 105
City AURORA
State IL
ZIP 60504
Phone 630 978-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director KEVIN LUE

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