14D2046138 CLIA NUMBER - BOLINGBROOK IMMEDIATE CARE (DBA) BOLINGBROOK URGENT CARE

Laboratory Demographics

  • CLIA Code: 14D2046138
  • Facility Name: BOLINGBROOK IMMEDIATE CARE (DBA) BOLINGBROOK URGENT CARE
  • Facility Address: 148 S BOLINGBROOK DR
    BOLINGBROOK, IL
    ZIP 60440
  • Facility Phone: 630 914-5373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED KHAN MD
  • NPI Number: 1821359464
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2046138
LAB Type Physician Office
Facility Name BOLINGBROOK IMMEDIATE CARE (DBA) BOLINGBROOK URGENT CARE
Street 148 S BOLINGBROOK DR
City BOLINGBROOK
State IL
ZIP 60440
Phone 630 914-5373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director SYED KHAN MD

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