14D2321817 CLIA NUMBER - PRIMECARE DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 14D2321817
  • Facility Name: PRIMECARE DIAGNOSTICS LLC
  • Facility Address: 5765 N LINCOLN AVE STE 22
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 847 686-3043
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SYED AKHTAR
  • NPI Number: 1275324741
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2321817
LAB Type Independent
Facility Name PRIMECARE DIAGNOSTICS LLC
Street 5765 N LINCOLN AVE STE 22
City CHICAGO
State IL
ZIP 60659
Phone 847 686-3043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Independent
Lab Director SYED AKHTAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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