14D0418317 CLIA NUMBER - PRIMARY CARE ASSOCIATES LTD

Laboratory Demographics

  • CLIA Code: 14D0418317
  • Facility Name: PRIMARY CARE ASSOCIATES LTD
  • Facility Address: 6840 WINDSOR AVE
    BERWYN, IL
    ZIP 60402
  • Facility Phone: 708 484-0042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW HSIEH
  • NPI Number: 1588731764
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0418317
LAB Type Physician Office
Facility Name PRIMARY CARE ASSOCIATES LTD
Street 6840 WINDSOR AVE
City BERWYN
State IL
ZIP 60402
Phone 708 484-0042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director MATTHEW HSIEH

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