14D2048943 CLIA NUMBER - CENTER FOR ADULT AND PEDIATRIC WELLNESS

Laboratory Demographics

  • CLIA Code: 14D2048943
  • Facility Name: CENTER FOR ADULT AND PEDIATRIC WELLNESS
  • Facility Address: 16501 106TH CT
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 904-4979
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YAZEN JOUDEH
  • NPI Number: 1508299611
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 14D2048943
LAB Type Physician Office
Facility Name CENTER FOR ADULT AND PEDIATRIC WELLNESS
Street 16501 106TH CT
City ORLAND PARK
State IL
ZIP 60467
Phone 708 904-4979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director YAZEN JOUDEH

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