14D0932055 CLIA NUMBER - HINSDALE PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D0932055
  • Facility Name: HINSDALE PRIMARY CARE ASSOCIATES
  • Facility Address: 911 N ELM SUITE 123
    HINSDALE, IL
    ZIP 60521
  • Facility Phone: 630 325-5709
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA DARLENE HOLMES
  • NPI Number: 1952339939
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0932055
LAB Type Physician Office
Facility Name HINSDALE PRIMARY CARE ASSOCIATES
Street 911 N ELM SUITE 123
City HINSDALE
State IL
ZIP 60521
Phone 630 325-5709
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 8/12/2023
Certificate Expiration Date 8/11/2025
Facility Type Physician Office
Lab Director LISA DARLENE HOLMES

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This page was last updated on: 6/4/2025