14D2039627 CLIA NUMBER - HEALTHY KIDS SC

Laboratory Demographics

  • CLIA Code: 14D2039627
  • Facility Name: HEALTHY KIDS SC
  • Facility Address: 18210 S LA GRANGE RD #109 - ADVOCATE SW MED CAMPUS
    TINLEY PARK, IL
    ZIP 60487
  • Facility Phone: 708 478-4666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANNA WAFAA
  • NPI Number: 1871763342
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2039627
LAB Type Physician Office
Facility Name HEALTHY KIDS SC
Street 18210 S LA GRANGE RD #109 - ADVOCATE SW MED CAMPUS
City TINLEY PARK
State IL
ZIP 60487
Phone 708 478-4666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director HANNA WAFAA

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