14D0646434 CLIA NUMBER - MIDWESTERN REGIONAL MEDICAL CENTER, INC

Laboratory Demographics

  • CLIA Code: 14D0646434
  • Facility Name: MIDWESTERN REGIONAL MEDICAL CENTER, INC
  • Facility Address: 2520 ELISHA AVE
    ZION, IL
    ZIP 60099
  • Facility Phone: 847 731-4161
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. BRADFORD A. TAN
  • NPI Number: 1528567831
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 14D0646434
LAB Type Hospital
Facility Name MIDWESTERN REGIONAL MEDICAL CENTER, INC
Street 2520 ELISHA AVE
City ZION
State IL
ZIP 60099
Phone 847 731-4161
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. BRADFORD A. TAN

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