14D2028638 CLIA NUMBER - GRACE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 14D2028638
  • Facility Name: GRACE PEDIATRICS LLC
  • Facility Address: 1118 BLOOMINGDALE RD
    GLENDALE HEIGHTS, IL
    ZIP 60139
  • Facility Phone: (630) 784-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARJUMAND FARHANA
  • NPI Number: 1801120860
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2028638
LAB Type Physician Office
Facility Name GRACE PEDIATRICS LLC
Street 1118 BLOOMINGDALE RD
City GLENDALE HEIGHTS
State IL
ZIP 60139
Phone 6307848600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director ARJUMAND FARHANA

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