14D1041733 CLIA NUMBER - AMERICAS FAMILY MEDICAL CENTERS

Laboratory Demographics

CLIA Number: 14D1041733

Facility Name: AMERICAS FAMILY MEDICAL CENTERS

Facility Address:
580 E LAKE STREET
ADDISON, IL
ZIP 60101
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Facility Phone Number: 630 833-5838

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306938170

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1041733
LAB Type	Physician Office
Facility Name	AMERICAS FAMILY MEDICAL CENTERS
Street	580 E LAKE STREET
City	ADDISON
State	IL
ZIP	60101
Phone	630 833-5838
CertificateType	4
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Waiver

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