14D2286670 CLIA NUMBER - HEAL WELL PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 14D2286670
  • Facility Name: HEAL WELL PRIMARY CARE, PC
  • Facility Address: 6063 N NORTHWEST HWY
    CHICAGO, IL
    ZIP 60631
  • Facility Phone: 312 971-7147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DERIN PATEL
  • NPI Number: 1003518473
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2286670
LAB Type Physician Office
Facility Name HEAL WELL PRIMARY CARE, PC
Street 6063 N NORTHWEST HWY
City CHICAGO
State IL
ZIP 60631
Phone 312 971-7147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director DERIN PATEL

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