14D2044079 CLIA NUMBER - PRIMARY CARE SERVICES S C

Laboratory Demographics

  • CLIA Code: 14D2044079
  • Facility Name: PRIMARY CARE SERVICES S C
  • Facility Address: 2500 S HIGHLAND AVE, STE 230
    LOMBARD, IL
    ZIP 60148
  • Facility Phone: 630 429-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRAM A. AHMED
  • NPI Number: 1235461765
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2044079
LAB Type Physician Office
Facility Name PRIMARY CARE SERVICES S C
Street 2500 S HIGHLAND AVE, STE 230
City LOMBARD
State IL
ZIP 60148
Phone 630 429-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director IRAM A. AHMED

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