14D2054935 CLIA NUMBER - PERSONALIZED WELLNESS INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 14D2054935
  • Facility Name: PERSONALIZED WELLNESS INTERNAL MEDICINE
  • Facility Address: 33 W HIGGINS RD, STE 1000
    SOUTH BARRINGTON, IL
    ZIP 60010
  • Facility Phone: 847 884-3920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY K. GEORGE M D
  • NPI Number: 1235479510
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2054935
LAB Type Physician Office
Facility Name PERSONALIZED WELLNESS INTERNAL MEDICINE
Street 33 W HIGGINS RD, STE 1000
City SOUTH BARRINGTON
State IL
ZIP 60010
Phone 847 884-3920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director MARY K. GEORGE M D

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