14D0413125 CLIA NUMBER - PETER G ALLEGRETTI MD

Laboratory Demographics

  • CLIA Code: 14D0413125
  • Facility Name: PETER G ALLEGRETTI MD
  • Facility Address: 535 W PARK AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 362-2311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER G. ALLEGRETTI MD
  • NPI Number: 1720152317
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PETER G. ALLEGRETTI MD

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This page was last updated on: 6/4/2025