14D1070748 CLIA NUMBER - ADVANCED PEDIATRICS CHILDRENS HEALTH ASSOCIATES SC

Laboratory Demographics

  • CLIA Code: 14D1070748
  • Facility Name: ADVANCED PEDIATRICS CHILDRENS HEALTH ASSOCIATES SC
  • Facility Address: 907 N ELM ST - STE 204
    HINSDALE, IL
    ZIP 60521
  • Facility Phone: 630 627-9797
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA B. KUTA
  • NPI Number: 1821459967
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D1070748
LAB Type Physician Office
Facility Name ADVANCED PEDIATRICS CHILDRENS HEALTH ASSOCIATES SC
Street 907 N ELM ST - STE 204
City HINSDALE
State IL
ZIP 60521
Phone 630 627-9797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Physician Office
Lab Director ANNA B. KUTA

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This page was last updated on: 3/20/2025