14D2118191 CLIA NUMBER - COMPREHENSIVE PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 14D2118191
  • Facility Name: COMPREHENSIVE PEDIATRIC CARE
  • Facility Address: 657 E GOLF RD, STE 309
    ARLINGTON HEIGHTS, IL
    ZIP 60005
  • Facility Phone: 773 774-6547
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIOLA JACKOWSKI MD
  • NPI Number: 1568630234
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2118191
LAB Type Physician Office
Facility Name COMPREHENSIVE PEDIATRIC CARE
Street 657 E GOLF RD, STE 309
City ARLINGTON HEIGHTS
State IL
ZIP 60005
Phone 773 774-6547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARIOLA JACKOWSKI MD

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