14D2209848 CLIA NUMBER - P M PEDIATRICS OF ILLINOIS, PLLC MOUNT PROSPECT

Laboratory Demographics

  • CLIA Code: 14D2209848
  • Facility Name: P M PEDIATRICS OF ILLINOIS, PLLC MOUNT PROSPECT
  • Facility Address: 200 W RAND RD
    MOUNT PROSPECT, IL
    ZIP 60056
  • Facility Phone: 847 979-5437
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PATRICK DOLAN
  • NPI Number: 1437458064
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2209848
LAB Type Other - URGENT CARE
Facility Name P M PEDIATRICS OF ILLINOIS, PLLC MOUNT PROSPECT
Street 200 W RAND RD
City MOUNT PROSPECT
State IL
ZIP 60056
Phone 847 979-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Other - URGENT CARE
Lab Director PATRICK DOLAN

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