14D2007996 CLIA NUMBER - COMPLETE CHILD HEALTH

Laboratory Demographics

  • CLIA Code: 14D2007996
  • Facility Name: COMPLETE CHILD HEALTH
  • Facility Address: 16003 EXECUTIVE DR
    CREST HILL, IL
    ZIP 60403
  • Facility Phone: 630 771-1630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYESHA M. KHAN
  • NPI Number: 1801108188
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2007996
LAB Type Physician Office
Facility Name COMPLETE CHILD HEALTH
Street 16003 EXECUTIVE DR
City CREST HILL
State IL
ZIP 60403
Phone 630 771-1630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Physician Office
Lab Director AYESHA M. KHAN

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