14D0426938 CLIA NUMBER - MIDWAY CLINIC

Laboratory Demographics

  • CLIA Code: 14D0426938
  • Facility Name: MIDWAY CLINIC
  • Facility Address: 4940 S CICERO
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: 773 582-6800
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: VIKTORAS DUBINSKAS
  • NPI Number: 1104977446
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0426938
LAB Type Industrial
Facility Name MIDWAY CLINIC
Street 4940 S CICERO
City CHICAGO
State IL
ZIP 60638
Phone 773 582-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Industrial
Lab Director VIKTORAS DUBINSKAS

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