14D2270988 CLIA NUMBER - P M PEDIATRICS OF ILLINOIS, LLC GLENVIEW

Laboratory Demographics

  • CLIA Code: 14D2270988
  • Facility Name: P M PEDIATRICS OF ILLINOIS, LLC GLENVIEW
  • Facility Address: 15 WAUKEGAN RD
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: 847 986-5437
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: PATRICK DOLAN
  • NPI Number: 1093011579
  • Taxonomy: 261QD1600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2270988
LAB Type Other - URGENT CARE
Facility Name P M PEDIATRICS OF ILLINOIS, LLC GLENVIEW
Street 15 WAUKEGAN RD
City GLENVIEW
State IL
ZIP 60025
Phone 847 986-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Other - URGENT CARE
Lab Director PATRICK DOLAN

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