14D2229458 CLIA NUMBER - PRIORITY ONE HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 14D2229458
  • Facility Name: PRIORITY ONE HEALTHCARE, LLC
  • Facility Address: 17901 GOVERNOR'S HWY - STE 100
    HOMEWOOD, IL
    ZIP 60430
  • Facility Phone: 708 213-7975
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRIYA M. SHASTRI
  • NPI Number: 1265294409
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2229458
LAB Type Physician Office
Facility Name PRIORITY ONE HEALTHCARE, LLC
Street 17901 GOVERNOR'S HWY - STE 100
City HOMEWOOD
State IL
ZIP 60430
Phone 708 213-7975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director PRIYA M. SHASTRI

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