14D2219298 CLIA NUMBER - MIDWEST CARE PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 14D2219298
  • Facility Name: MIDWEST CARE PEDIATRICS, INC
  • Facility Address: 41 W ROOSEVELT RD
    VILLA PARK, IL
    ZIP 60181
  • Facility Phone: 708 795-5502
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REEMA MOHAMMED M D
  • NPI Number: 1578157053
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2219298
LAB Type Physician Office
Facility Name MIDWEST CARE PEDIATRICS, INC
Street 41 W ROOSEVELT RD
City VILLA PARK
State IL
ZIP 60181
Phone 708 795-5502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director REEMA MOHAMMED M D

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