14D1024562 CLIA NUMBER - ALGONQUIN FAMILY HEALTH CARE PC

Laboratory Demographics

CLIA Number: 14D1024562

Facility Name: ALGONQUIN FAMILY HEALTH CARE PC

Facility Address:
2220 HUNTINGTON DRIVE NORTH
ALGONQUIN, IL
ZIP 60102
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Facility Phone Number: 847 854-0050

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134399678

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	14D1024562
LAB Type	Physician Office
Facility Name	ALGONQUIN FAMILY HEALTH CARE PC
Street	2220 HUNTINGTON DRIVE NORTH
City	ALGONQUIN
State	IL
ZIP	60102
Phone	847 854-0050
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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