14D2043477 CLIA NUMBER - DELAVAN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 14D2043477
  • Facility Name: DELAVAN PEDIATRICS LLC
  • Facility Address: 101 E 5TH ST
    DELAVAN, IL
    ZIP 61734
  • Facility Phone: 309 244-8445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH L. FLINT
  • NPI Number: 1053675181
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2043477
LAB Type Physician Office
Facility Name DELAVAN PEDIATRICS LLC
Street 101 E 5TH ST
City DELAVAN
State IL
ZIP 61734
Phone 309 244-8445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director JOSEPH L. FLINT

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