14D0922371 CLIA NUMBER - BARRINGTON FAMILY PRACTICE ORAZIO BARTOLOMEO MD

Laboratory Demographics

CLIA Number: 14D0922371

Facility Name: BARRINGTON FAMILY PRACTICE ORAZIO BARTOLOMEO MD

Facility Address:
120 N NORTHWEST HIGHWAY
BARRINGTON, IL
ZIP 60010
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Facility Phone Number: 847 382-6697

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962948232

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0922371
LAB Type	Physician Office
Facility Name	BARRINGTON FAMILY PRACTICE ORAZIO BARTOLOMEO MD
Street	120 N NORTHWEST HIGHWAY
City	BARRINGTON
State	IL
ZIP	60010
Phone	847 382-6697
CertificateType	4
CertificateEffectiveDate	11/21/2022
CertificateExpirationDate	11/20/2024
FacilityType	Waiver

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