14D2146068 CLIA NUMBER - J C REYES PEDIATRICS, S C

Laboratory Demographics

  • CLIA Code: 14D2146068
  • Facility Name: J C REYES PEDIATRICS, S C
  • Facility Address: 7000 W ARCHER AVE
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: 773 229-2373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSELITO C. REYES M D
  • NPI Number: 1689109704
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2146068
LAB Type Physician Office
Facility Name J C REYES PEDIATRICS, S C
Street 7000 W ARCHER AVE
City CHICAGO
State IL
ZIP 60638
Phone 773 229-2373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director JOSELITO C. REYES M D

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