14D2177656 CLIA NUMBER - BUBBLES PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2177656
  • Facility Name: BUBBLES PEDIATRICS
  • Facility Address: 1721 MOON LAKE BLVD - STE 150
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 847 882-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UTSAHI PATEL M D
  • NPI Number: 1801341466
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2177656
LAB Type Physician Office
Facility Name BUBBLES PEDIATRICS
Street 1721 MOON LAKE BLVD - STE 150
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 847 882-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director UTSAHI PATEL M D

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