14D2047661 CLIA NUMBER - IMMEDIATE CARE PLUS LTD

Home > CLIA Lookup > 14D2047661

Laboratory Demographics

CLIA Number: 14D2047661

Facility Name: IMMEDIATE CARE PLUS LTD

Facility Address:
888 E MAIN ST
EAST DUNDEE, IL
ZIP 60118
Get Directions

Facility Phone Number: 847 426-0600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699008243

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2047661
LAB Type	Physician Office
Facility Name	IMMEDIATE CARE PLUS LTD
Street	888 E MAIN ST
City	EAST DUNDEE
State	IL
ZIP	60118
Phone	847 426-0600
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
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