14D2062345 CLIA NUMBER - PALOS PEDIATRIC ASSOCIATES P C

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Laboratory Demographics

CLIA Number: 14D2062345

Facility Name: PALOS PEDIATRIC ASSOCIATES P C

Facility Address:
4700 WEST 95TH ST, STE 301
OAK LAWN, IL
ZIP 60453
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Facility Phone Number: 708 424-7601

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093067233

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	14D2062345
LAB Type	Physician Office
Facility Name	PALOS PEDIATRIC ASSOCIATES P C
Street	4700 WEST 95TH ST, STE 301
City	OAK LAWN
State	IL
ZIP	60453
Phone	708 424-7601
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024