14D2171616 CLIA NUMBER - HEART TO HEART PEDIATRICS, L L C

Laboratory Demographics

  • CLIA Code: 14D2171616
  • Facility Name: HEART TO HEART PEDIATRICS, L L C
  • Facility Address: 224 BRADFORD LANE
    WATERLOO, IL
    ZIP 62298
  • Facility Phone: 618 939-0112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GINNY M. PETER
  • NPI Number: 1376192567
  • Taxonomy: 363LP0200X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2171616
LAB Type Physician Office
Facility Name HEART TO HEART PEDIATRICS, L L C
Street 224 BRADFORD LANE
City WATERLOO
State IL
ZIP 62298
Phone 618 939-0112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director GINNY M. PETER

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