14D0413125 CLIA NUMBER - PETER G ALLEGRETTI MD

Laboratory Demographics

CLIA Number: 14D0413125

Facility Name: PETER G ALLEGRETTI MD

Facility Address:
535 W PARK AVE
LIBERTYVILLE, IL
ZIP 60048
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Facility Phone Number: 847 362-2311

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720152317

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D0413125
LAB Type	Physician Office
Facility Name	PETER G ALLEGRETTI MD
Street	535 W PARK AVE
City	LIBERTYVILLE
State	IL
ZIP	60048
Phone	847 362-2311
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024