14D1070909 CLIA NUMBER - PEDIATRIC ASSOCIATES P C

Laboratory Demographics

  • CLIA Code: 14D1070909
  • Facility Name: PEDIATRIC ASSOCIATES P C
  • Facility Address: 3749 W 95TH STREET
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 422-6569
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUBASH C. ARORA M D
  • NPI Number: 1548337793
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D1070909
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES P C
Street 3749 W 95TH STREET
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 422-6569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director SUBASH C. ARORA M D

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