14D1026490 CLIA NUMBER - CONCENTRA IMMEDIATE CARE - ELK GROVE VILLAGE AMERICAN CURRENT CARE P C CO

Laboratory Demographics

CLIA Number: 14D1026490

Facility Name: CONCENTRA IMMEDIATE CARE - ELK GROVE VILLAGE AMERICAN CURRENT CARE P C CO

Facility Address:
1830 JARVIS AVE
ELK GROVE VILLAGE, IL
ZIP 60007
Get Directions

Facility Phone Number: 847 952-1180

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780025478

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1026490
LAB Type	Physician Office
Facility Name	CONCENTRA IMMEDIATE CARE - ELK GROVE VILLAGE AMERICAN CURRENT CARE P C CO
Street	1830 JARVIS AVE
City	ELK GROVE VILLAGE
State	IL
ZIP	60007
Phone	847 952-1180
CertificateType	4
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024