14D2078574 CLIA NUMBER - FAMILY PRACTICE CENTER OF PALATINE

Laboratory Demographics

  • CLIA Code: 14D2078574
  • Facility Name: FAMILY PRACTICE CENTER OF PALATINE
  • Facility Address: 371 W NORTHWEST HWY
    PALATINE, IL
    ZIP 60067
  • Facility Phone: 847 776-7800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIR M. ALI
  • NPI Number: 1164513107
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2078574
LAB Type Physician Office
Facility Name FAMILY PRACTICE CENTER OF PALATINE
Street 371 W NORTHWEST HWY
City PALATINE
State IL
ZIP 60067
Phone 847 776-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director MIR M. ALI

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