14D1069010 CLIA NUMBER - HEARTLAND PRIMARY CARE S C

Laboratory Demographics

  • CLIA Code: 14D1069010
  • Facility Name: HEARTLAND PRIMARY CARE S C
  • Facility Address: 215 REMINGTON BLVD, SUITE F
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 378-4880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SRILAKSHMI VEMAREDDY M D
  • NPI Number: 1871715227
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1069010
LAB Type Physician Office
Facility Name HEARTLAND PRIMARY CARE S C
Street 215 REMINGTON BLVD, SUITE F
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 378-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director SRILAKSHMI VEMAREDDY M D

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