14D1057035 CLIA NUMBER - FAMILY FIRST PHYSICIANS S C

Laboratory Demographics

  • CLIA Code: 14D1057035
  • Facility Name: FAMILY FIRST PHYSICIANS S C
  • Facility Address: 2560 HAUSER ROSS DR - STE 425
    SYCAMORE, IL
    ZIP 60178
  • Facility Phone: 815 784-6300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KAREN M. FEDERICI, M D
  • NPI Number: 1437176435
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1057035
LAB Type Physician Office
Facility Name FAMILY FIRST PHYSICIANS S C
Street 2560 HAUSER ROSS DR - STE 425
City SYCAMORE
State IL
ZIP 60178
Phone 815 784-6300
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 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director KAREN M. FEDERICI, M D

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