14D0703970 CLIA NUMBER - GURNEE PEDIATRICS, S C

Laboratory Demographics

  • CLIA Code: 14D0703970
  • Facility Name: GURNEE PEDIATRICS, S C
  • Facility Address: 15 TOWER COURT STE 150
    GURNEE, IL
    ZIP 60031
  • Facility Phone: 847 623-4464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAYE MONTES M D
  • NPI Number: 1568569754
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0703970
LAB Type Physician Office
Facility Name GURNEE PEDIATRICS, S C
Street 15 TOWER COURT STE 150
City GURNEE
State IL
ZIP 60031
Phone 847 623-4464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director FAYE MONTES 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: 6/4/2025