14D2022775 CLIA NUMBER - M M KIDS SC

Laboratory Demographics

  • CLIA Code: 14D2022775
  • Facility Name: M M KIDS SC
  • Facility Address: 90 TURNER AVE
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 437-1006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIROSLAWA MALINOWSKA
  • NPI Number: 1467582098
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2022775
LAB Type Physician Office
Facility Name M M KIDS SC
Street 90 TURNER AVE
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 437-1006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director MIROSLAWA MALINOWSKA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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