14D2102467 CLIA NUMBER - RAPPAPORT PEDIATRICS SC

Laboratory Demographics

  • CLIA Code: 14D2102467
  • Facility Name: RAPPAPORT PEDIATRICS SC
  • Facility Address: 570 LINCOLN AVE, STE 1
    WINNETKA, IL
    ZIP 60093
  • Facility Phone: 224 255-6001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA S. RAPPAPORT MD
  • NPI Number: 1376912246
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2102467
LAB Type Physician Office
Facility Name RAPPAPORT PEDIATRICS SC
Street 570 LINCOLN AVE, STE 1
City WINNETKA
State IL
ZIP 60093
Phone 224 255-6001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2023
Certificate Expiration Date 9/22/2025
Facility Type Physician Office
Lab Director JESSICA S. RAPPAPORT MD

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This page was last updated on: 6/4/2025