14D2007348 CLIA NUMBER - MIDWEST MEDICAL SYSTEMS INC

Laboratory Demographics

  • CLIA Code: 14D2007348
  • Facility Name: MIDWEST MEDICAL SYSTEMS INC
  • Facility Address: 1177 N HIGHLAND AVE
    AURORA, IL
    ZIP 60506
  • Facility Phone: 630 801-7505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOWHAR KHAN
  • NPI Number: 1518064484
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2007348
LAB Type Physician Office
Facility Name MIDWEST MEDICAL SYSTEMS INC
Street 1177 N HIGHLAND AVE
City AURORA
State IL
ZIP 60506
Phone 630 801-7505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director GOWHAR KHAN

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