14D1050907 CLIA NUMBER - CONCENTRA URGENT CARE - CHICAGO

Laboratory Demographics

CLIA Number: 14D1050907

Facility Name: CONCENTRA URGENT CARE - CHICAGO

Facility Address:
614 W MONROE ST
CHICAGO, IL
ZIP 60661
Get Directions

Facility Phone Number: 312 258-0700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427551134

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1050907
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE - CHICAGO
Street	614 W MONROE ST
City	CHICAGO
State	IL
ZIP	60661
Phone	312 258-0700
CertificateType	4
CertificateEffectiveDate	2/15/2024
CertificateExpirationDate	2/14/2026
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