14D1098237 CLIA NUMBER - REGENCY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D1098237

Facility Name: REGENCY MEDICAL CENTER

Facility Address:
22285 N PEPPER RD - STE 302
LAKE BARRINGTON, IL
ZIP 60010
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Facility Phone Number: 847 726-0774

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972687481

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 14D1098237
LAB Type Physician Office
Facility Name REGENCY MEDICAL CENTER
Street 22285 N PEPPER RD - STE 302
City LAKE BARRINGTON
State IL
ZIP 60010
Phone 847 726-0774
CertificateType 4
CertificateEffectiveDate 4/15/2023
CertificateExpirationDate 4/14/2025
FacilityType Waiver

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