14D0868378 CLIA NUMBER - BLOOMINGDALE FAMILY PRACTICE S C

Laboratory Demographics

CLIA Number: 14D0868378

Facility Name: BLOOMINGDALE FAMILY PRACTICE S C

Facility Address:
129 FAIRFIELD WAY, STE 218
BLOOMINGDALE, IL
ZIP 60108
Get Directions

Facility Phone Number: 630 894-7505

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1942482146

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	14D0868378
LAB Type	Physician Office
Facility Name	BLOOMINGDALE FAMILY PRACTICE S C
Street	129 FAIRFIELD WAY, STE 218
City	BLOOMINGDALE
State	IL
ZIP	60108
Phone	630 894-7505
CertificateType	3
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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