14D2128288 CLIA NUMBER - BEST CARE PEDIATRICS KASSAR MD INC

Laboratory Demographics

CLIA Number: 14D2128288

Facility Name: BEST CARE PEDIATRICS KASSAR MD INC

Facility Address:
516 E BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440
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Facility Phone Number: 630 456-0708

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154790350

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2128288
LAB Type	Physician Office
Facility Name	BEST CARE PEDIATRICS KASSAR MD INC
Street	516 E BOUGHTON RD
City	BOLINGBROOK
State	IL
ZIP	60440
Phone	630 456-0708
CertificateType	4
CertificateEffectiveDate	3/30/2024
CertificateExpirationDate	3/29/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024