14D2286334 CLIA NUMBER - SWAN PRIMARY CARE, PLLC

Laboratory Demographics

  • CLIA Code: 14D2286334
  • Facility Name: SWAN PRIMARY CARE, PLLC
  • Facility Address: 303 E ARMY TRAIL RD - STE 111
    BLOOMINGDALE, IL
    ZIP 60108
  • Facility Phone: 630 931-2929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAHAJ AHMED
  • NPI Number: 1376137083
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2286334
LAB Type Physician Office
Facility Name SWAN PRIMARY CARE, PLLC
Street 303 E ARMY TRAIL RD - STE 111
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 931-2929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director WAHAJ AHMED

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