14D2078097 CLIA NUMBER - PEDIATRIC CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D2078097
  • Facility Name: PEDIATRIC CARE ASSOCIATES
  • Facility Address: 1473 COMMERCE DR
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 884-7710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. BOTON
  • NPI Number: 1982721528
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 14D2078097
LAB Type Physician Office
Facility Name PEDIATRIC CARE ASSOCIATES
Street 1473 COMMERCE DR
City ALGONQUIN
State IL
ZIP 60102
Phone 847 884-7710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Physician Office
Lab Director ROBERT A. BOTON

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