14D2049528 CLIA NUMBER - PHYSICIANS IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2049528
  • Facility Name: PHYSICIANS IMMEDIATE CARE
  • Facility Address: 335 E ARMY TRAIL RD
    GLENDALE HEIGHTS, IL
    ZIP 60139
  • Facility Phone: 630 735-1400
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT BIERNBAUM
  • NPI Number: 1619687175
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2049528
LAB Type Other - URGENT CARE
Facility Name PHYSICIANS IMMEDIATE CARE
Street 335 E ARMY TRAIL RD
City GLENDALE HEIGHTS
State IL
ZIP 60139
Phone 630 735-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Other - URGENT CARE
Lab Director ROBERT BIERNBAUM

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