14D2281157 CLIA NUMBER - FIRST CARE FAMILIY CLINIC, S C

Laboratory Demographics

CLIA Number: 14D2281157

Facility Name: FIRST CARE FAMILIY CLINIC, S C

Facility Address:
662 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914
Get Directions

Facility Phone Number: 815 802-0000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992092753

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	14D2281157
LAB Type	Physician Office
Facility Name	FIRST CARE FAMILIY CLINIC, S C
Street	662 N CONVENT ST
City	BOURBONNAIS
State	IL
ZIP	60914
Phone	815 802-0000
CertificateType	4
CertificateEffectiveDate	5/2/2023
CertificateExpirationDate	5/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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