14D1057132 CLIA NUMBER - PEDIATRIC WELLNESS

Laboratory Demographics

  • CLIA Code: 14D1057132
  • Facility Name: PEDIATRIC WELLNESS
  • Facility Address: 15900 W 127TH SUITE 261
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 630 243-7683
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAITH S. MYERS
  • NPI Number: 1811265226
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1057132
LAB Type Physician Office
Facility Name PEDIATRIC WELLNESS
Street 15900 W 127TH SUITE 261
City LEMONT
State IL
ZIP 60439
Phone 630 243-7683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director FAITH S. MYERS

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