14D2039578 CLIA NUMBER - PREMIER PRIMARY CARE PHYSICIANS SC

Laboratory Demographics

  • CLIA Code: 14D2039578
  • Facility Name: PREMIER PRIMARY CARE PHYSICIANS SC
  • Facility Address: 371 S MAIN PLACE
    CAROL STREAM, IL
    ZIP 60188
  • Facility Phone: 630 682-1950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAUSHEEN HASAN
  • NPI Number: 1427140557
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2039578
LAB Type Physician Office
Facility Name PREMIER PRIMARY CARE PHYSICIANS SC
Street 371 S MAIN PLACE
City CAROL STREAM
State IL
ZIP 60188
Phone 630 682-1950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director NAUSHEEN HASAN

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