14D1058081 CLIA NUMBER - PHYSICIANS IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D1058081
  • Facility Name: PHYSICIANS IMMEDIATE CARE
  • Facility Address: 600 W ADAMS ST
    CHICAGO, IL
    ZIP 60661
  • Facility Phone: 312 506-0900
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: ROBERT M. BIERNBAUM
  • NPI Number: 1265737787
  • Taxonomy: 251X00000X - Supports Brokerage

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1058081
LAB Type Other - URGENT CARE CLINIC
Facility Name PHYSICIANS IMMEDIATE CARE
Street 600 W ADAMS ST
City CHICAGO
State IL
ZIP 60661
Phone 312 506-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Other - URGENT CARE CLINIC
Lab Director ROBERT M. BIERNBAUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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