14D2119430 CLIA NUMBER - CLINICA MEDICA DEL NINO JESUS (DBA)

Laboratory Demographics

  • CLIA Code: 14D2119430
  • Facility Name: CLINICA MEDICA DEL NINO JESUS (DBA)
  • Facility Address: 158 E CHICAGO ST, 2ND FL
    ELGIN, IL
    ZIP 60120
  • Facility Phone: 224 281-3768
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO C. GUZMAN MD
  • NPI Number: 1598214934
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2119430
LAB Type Physician Office
Facility Name CLINICA MEDICA DEL NINO JESUS (DBA)
Street 158 E CHICAGO ST, 2ND FL
City ELGIN
State IL
ZIP 60120
Phone 224 281-3768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director GERARDO C. GUZMAN MD

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