14D2040760 CLIA NUMBER - PREMIER CARE FOR WOMEN

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Laboratory Demographics

CLIA Number: 14D2040760

Facility Name: PREMIER CARE FOR WOMEN

Facility Address:
1012 W 95TH ST STE 4
NAPERVILLE, IL
ZIP 60564
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Facility Phone Number: 630 856-8610

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1386912046

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D2040760
LAB Type	Physician Office
Facility Name	PREMIER CARE FOR WOMEN
Street	1012 W 95TH ST STE 4
City	NAPERVILLE
State	IL
ZIP	60564
Phone	630 856-8610
CertificateType	3
CertificateEffectiveDate	5/9/2022
CertificateExpirationDate	5/8/2024
FacilityType	PPMP

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