14D2070909 CLIA NUMBER - PRIME IMMEDIATE AND PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 14D2070909
  • Facility Name: PRIME IMMEDIATE AND PRIMARY CARE INC
  • Facility Address: 535 FAIRWAY DR, STE 107
    NAPERVILLE, IL
    ZIP 60563
  • Facility Phone: 630 857-3967
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FOUZIA MUHAMMEDKARIM M D
  • NPI Number: 1144658287
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2070909
LAB Type Physician Office
Facility Name PRIME IMMEDIATE AND PRIMARY CARE INC
Street 535 FAIRWAY DR, STE 107
City NAPERVILLE
State IL
ZIP 60563
Phone 630 857-3967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director FOUZIA MUHAMMEDKARIM M D

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