14D1083123 CLIA NUMBER - PRIMARY HEALTH ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D1083123
  • Facility Name: PRIMARY HEALTH ASSOCIATES
  • Facility Address: 16513 SOUTH 106TH COURT
    ORLAND PARK, IL
    ZIP 60467
  • Facility Phone: 708 364-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. PANOZZO
  • NPI Number: 1760577829
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 14D1083123
LAB Type Physician Office
Facility Name PRIMARY HEALTH ASSOCIATES
Street 16513 SOUTH 106TH COURT
City ORLAND PARK
State IL
ZIP 60467
Phone 708 364-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Physician Office
Lab Director JOHN A. PANOZZO

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