14D2020048 CLIA NUMBER - 4 KIDS PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D2020048
  • Facility Name: 4 KIDS PEDIATRICS SC
  • Facility Address: 1111 W DUNDEE RD - EAST ENTERANCE
    WHEELING, IL
    ZIP 60090
  • Facility Phone: (224) 676-0905
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILA ELMAN MD FAAP
  • NPI Number: 1750685418
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2020048
LAB Type Physician Office
Facility Name 4 KIDS PEDIATRICS SC
Street 1111 W DUNDEE RD - EAST ENTERANCE
City WHEELING
State IL
ZIP 60090
Phone 2246760905
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director LILA ELMAN MD FAAP

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This page was last updated on: 5/18/2026