14D1062407 CLIA NUMBER - TALCOTT PRIMARY CARE L L C

Laboratory Demographics

  • CLIA Code: 14D1062407
  • Facility Name: TALCOTT PRIMARY CARE L L C
  • Facility Address: 7447 W TALCOTT, SUITE 409-415
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: (773) 763-3808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN J. PEARLMAN, M D
  • NPI Number: 1457473175
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1062407
LAB Type Physician Office
Facility Name TALCOTT PRIMARY CARE L L C
Street 7447 W TALCOTT, SUITE 409-415
City CHICAGO
State IL
ZIP 60631
Phone 7737633808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director STEVEN J. PEARLMAN, M D

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This page was last updated on: 5/18/2026