14D0887598 CLIA NUMBER - AFFILIATES IN PRIMARY CARE

Laboratory Demographics

CLIA Number: 14D0887598

Facility Name: AFFILIATES IN PRIMARY CARE

Facility Address:
7411 LAKE ST #2210
RIVER FOREST, IL
ZIP 60305
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Facility Phone Number: 708 450-0055

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053593384

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	14D0887598
LAB Type	Physician Office
Facility Name	AFFILIATES IN PRIMARY CARE
Street	7411 LAKE ST #2210
City	RIVER FOREST
State	IL
ZIP	60305
Phone	708 450-0055
CertificateType	4
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	Waiver

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