14D2285931 CLIA NUMBER - PEDIATRICARE

Laboratory Demographics

  • CLIA Code: 14D2285931
  • Facility Name: PEDIATRICARE
  • Facility Address: 2934 W SHERWIN AVE
    CHICAGO, IL
    ZIP 60645
  • Facility Phone: 240 354-6795
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SAMUEL M. SINGER
  • NPI Number: 1578252318
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2285931
LAB Type Practitioner Other
Facility Name PEDIATRICARE
Street 2934 W SHERWIN AVE
City CHICAGO
State IL
ZIP 60645
Phone 240 354-6795
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Practitioner Other
Lab Director SAMUEL M. SINGER

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