14D2062080 CLIA NUMBER - PEDIATRIC ASSOCIATES OF THE NORTH SHORE

Laboratory Demographics

  • CLIA Code: 14D2062080
  • Facility Name: PEDIATRIC ASSOCIATES OF THE NORTH SHORE
  • Facility Address: 1144 WILMETTE
    WILMETTE, IL
    ZIP 60091
  • Facility Phone: (847) 256-6480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER R. LEWY M D
  • NPI Number: 1942423587
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2062080
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES OF THE NORTH SHORE
Street 1144 WILMETTE
City WILMETTE
State IL
ZIP 60091
Phone 8472566480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director PETER R. LEWY M D

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