14D2053910 CLIA NUMBER - GLENVIEW GATEWAY - IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2053910
  • Facility Name: GLENVIEW GATEWAY - IMMEDIATE CARE
  • Facility Address: 2701 PATRIOT BLVD, STE 110
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 724-4536
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTORIA WESTON
  • NPI Number: 1942555347
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 14D2053910
LAB Type Physician Office
Facility Name GLENVIEW GATEWAY - IMMEDIATE CARE
Street 2701 PATRIOT BLVD, STE 110
City GLENVIEW
State IL
ZIP 60026
Phone 847 724-4536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director VICTORIA WESTON

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