14D0415586 CLIA NUMBER - WINTERS FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 14D0415586
  • Facility Name: WINTERS FAMILY PRACTICE PC
  • Facility Address: 2350 ROYAL BLVD, SUITE 300
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 742-3120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD J. WINTERS MD
  • NPI Number: 1912942863
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0415586
LAB Type Physician Office
Facility Name WINTERS FAMILY PRACTICE PC
Street 2350 ROYAL BLVD, SUITE 300
City ELGIN
State IL
ZIP 60123
Phone 847 742-3120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Physician Office
Lab Director RONALD J. WINTERS MD

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