14D2195475 CLIA NUMBER - N M G - GLENVIEW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2195475
  • Facility Name: N M G - GLENVIEW PEDIATRICS
  • Facility Address: 2701 PATRIOT BLVD - STE 200
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 998-9099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER LECHMAN M D
  • NPI Number: 1053367375
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2195475
LAB Type Physician Office
Facility Name N M G - GLENVIEW PEDIATRICS
Street 2701 PATRIOT BLVD - STE 200
City GLENVIEW
State IL
ZIP 60026
Phone 847 998-9099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director PETER LECHMAN M D

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