14D2091037 CLIA NUMBER - DULY HEALTH & CARE - B L PEDS

Laboratory Demographics

  • CLIA Code: 14D2091037
  • Facility Name: DULY HEALTH & CARE - B L PEDS
  • Facility Address: 220 SPRINGFIELD DR, SUITE 330
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 469-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PANOREA MATHEWS-KUKLA MD
  • NPI Number: 1972033736
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2091037
LAB Type Physician Office
Facility Name DULY HEALTH & CARE - B L PEDS
Street 220 SPRINGFIELD DR, SUITE 330
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 469-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director PANOREA MATHEWS-KUKLA MD

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