14D2116252 CLIA NUMBER - OSTEOPATHIC HEALING ARTS

Laboratory Demographics

CLIA Number: 14D2116252

Facility Name: OSTEOPATHIC HEALING ARTS

Facility Address:
114 W ROCKLAND RD - #202
LIBERTYVILLE, IL
ZIP 60048
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Facility Phone Number: 224 424-0168

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083133367

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	14D2116252
LAB Type	Physician Office
Facility Name	OSTEOPATHIC HEALING ARTS
Street	114 W ROCKLAND RD - #202
City	LIBERTYVILLE
State	IL
ZIP	60048
Phone	224 424-0168
CertificateType	4
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	Waiver

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