14D1084037 CLIA NUMBER - YOUR FAMILY DOCTOR LLC

Laboratory Demographics

CLIA Number: 14D1084037

Facility Name: YOUR FAMILY DOCTOR LLC

Facility Address:
205 CADILLAC CT, SUITE #7
BELVIDERE, IL
ZIP 61008
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Facility Phone Number: 815 544-0087

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942219514

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D1084037
LAB Type	Physician Office
Facility Name	YOUR FAMILY DOCTOR LLC
Street	205 CADILLAC CT, SUITE #7
City	BELVIDERE
State	IL
ZIP	61008
Phone	815 544-0087
CertificateType	4
CertificateEffectiveDate	5/15/2024
CertificateExpirationDate	5/14/2026
FacilityType	Waiver

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