14D2061581 CLIA NUMBER - WEISSBLUTH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2061581
  • Facility Name: WEISSBLUTH PEDIATRICS
  • Facility Address: 737 N MICHIGAN AVE, STE 820
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: 312 202-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL WEISSBLUTH
  • NPI Number: 1710239439
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2061581
LAB Type Physician Office
Facility Name WEISSBLUTH PEDIATRICS
Street 737 N MICHIGAN AVE, STE 820
City CHICAGO
State IL
ZIP 60611
Phone 312 202-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DANIEL WEISSBLUTH

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