14D0970177 CLIA NUMBER - NORTHWEST PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 14D0970177
  • Facility Name: NORTHWEST PRIMARY CARE
  • Facility Address: 2575 W ALGONQUIN RD
    ALGONQUIN, IL
    ZIP 60102
  • Facility Phone: 847 458-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITESH PATEL MD
  • NPI Number: 1225344906
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0970177
LAB Type Physician Office
Facility Name NORTHWEST PRIMARY CARE
Street 2575 W ALGONQUIN RD
City ALGONQUIN
State IL
ZIP 60102
Phone 847 458-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director RITESH PATEL MD

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