14D0427505 CLIA NUMBER - MIDWEST PRIMARY CARE SC

Laboratory Demographics

  • CLIA Code: 14D0427505
  • Facility Name: MIDWEST PRIMARY CARE SC
  • Facility Address: 2955 W 95TH STREET
    EVERGREEN PARK, IL
    ZIP 60805
  • Facility Phone: 708 425-9399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED Z. MOHSIN MD
  • NPI Number: 1700989936
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D0427505
LAB Type Physician Office
Facility Name MIDWEST PRIMARY CARE SC
Street 2955 W 95TH STREET
City EVERGREEN PARK
State IL
ZIP 60805
Phone 708 425-9399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director SYED Z. MOHSIN MD

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