14D2077484 CLIA NUMBER - RIVER FOREST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2077484
  • Facility Name: RIVER FOREST PEDIATRICS
  • Facility Address: 7420 CENTRAL AVE, STE 2040
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 708 776-7220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT MERCOLA M D
  • NPI Number: 1083615470
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2077484
LAB Type Physician Office
Facility Name RIVER FOREST PEDIATRICS
Street 7420 CENTRAL AVE, STE 2040
City RIVER FOREST
State IL
ZIP 60305
Phone 708 776-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director SCOTT MERCOLA M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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