14D2001108 CLIA NUMBER - CICERO PEDIATRICS

Home > CLIA Lookup > 14D2001108

Laboratory Demographics

CLIA Number: 14D2001108

Facility Name: CICERO PEDIATRICS

Facility Address:
5307 W CERMAK RD
CICERO, IL
ZIP 60804
Get Directions

Facility Phone Number: 708 477-6700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003100942

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D2001108
LAB Type	Physician Office
Facility Name	CICERO PEDIATRICS
Street	5307 W CERMAK RD
City	CICERO
State	IL
ZIP	60804
Phone	708 477-6700
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024