14D2010217 CLIA NUMBER - SCOTT PALMER M D LLC

Laboratory Demographics

  • CLIA Code: 14D2010217
  • Facility Name: SCOTT PALMER M D LLC
  • Facility Address: 1725 W HARRISON STE 758
    CHICAGO, IL
    ZIP 60612
  • Facility Phone: 312 942-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT B. PALMER M D
  • NPI Number: 1144245994
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2010217
LAB Type Physician Office
Facility Name SCOTT PALMER M D LLC
Street 1725 W HARRISON STE 758
City CHICAGO
State IL
ZIP 60612
Phone 312 942-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director SCOTT B. PALMER M D

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