14D2212050 CLIA NUMBER - THRIVE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 14D2212050
  • Facility Name: THRIVE PEDIATRICS LLC
  • Facility Address: 2410 ALFT LN SUITE 100
    ELGIN, IL
    ZIP 60124
  • Facility Phone: 847 531-4883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEANNE MILLER
  • NPI Number: 1972199479
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2212050
LAB Type Physician Office
Facility Name THRIVE PEDIATRICS LLC
Street 2410 ALFT LN SUITE 100
City ELGIN
State IL
ZIP 60124
Phone 847 531-4883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Physician Office
Lab Director DEANNE MILLER

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