14D0911846 CLIA NUMBER - PRIME CARE FAMILY PHYSICIANS LTD

Laboratory Demographics

  • CLIA Code: 14D0911846
  • Facility Name: PRIME CARE FAMILY PHYSICIANS LTD
  • Facility Address: 7400 W ADDISON STREET
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 773 625-1900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER CALABRESE D O
  • NPI Number: 1639204472
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0911846
LAB Type Physician Office
Facility Name PRIME CARE FAMILY PHYSICIANS LTD
Street 7400 W ADDISON STREET
City CHICAGO
State IL
ZIP 60634
Phone 773 625-1900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director PETER CALABRESE D O

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