14D2283203 CLIA NUMBER - HOPE CHEST PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 14D2283203
  • Facility Name: HOPE CHEST PEDIATRICS LLC
  • Facility Address: 130 N DUNCAN ST
    MARINE, IL
    ZIP 62061
  • Facility Phone: 815 310-6222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY C. TODD
  • NPI Number: 1801511290
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 14D2283203
LAB Type Physician Office
Facility Name HOPE CHEST PEDIATRICS LLC
Street 130 N DUNCAN ST
City MARINE
State IL
ZIP 62061
Phone 815 310-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director KELLY C. TODD

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