14D1070570 CLIA NUMBER - ASSOCIATED PEDIATRIC PARTNERS SC

Laboratory Demographics

  • CLIA Code: 14D1070570
  • Facility Name: ASSOCIATED PEDIATRIC PARTNERS SC
  • Facility Address: 1613 BARCLAY BLVD
    BUFFALO GROVE, IL
    ZIP 60089
  • Facility Phone: 847 520-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHA VARGHESE M D
  • NPI Number: 1386869139
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1070570
LAB Type Physician Office
Facility Name ASSOCIATED PEDIATRIC PARTNERS SC
Street 1613 BARCLAY BLVD
City BUFFALO GROVE
State IL
ZIP 60089
Phone 847 520-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Physician Office
Lab Director ASHA VARGHESE M D

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