14D2065416 CLIA NUMBER - DU MAIS PEDIATRICS S C

Laboratory Demographics

  • CLIA Code: 14D2065416
  • Facility Name: DU MAIS PEDIATRICS S C
  • Facility Address: 10710 WEST 143RD ST, SUITE 13
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 364-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN P. DU MAIS
  • NPI Number: 1760826333
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2065416
LAB Type Physician Office
Facility Name DU MAIS PEDIATRICS S C
Street 10710 WEST 143RD ST, SUITE 13
City ORLAND PARK
State IL
ZIP 60462
Phone 708 364-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director BRIAN P. DU MAIS

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