14D2056023 CLIA NUMBER - PHYSICIANS IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2056023
  • Facility Name: PHYSICIANS IMMEDIATE CARE
  • Facility Address: 5961 LINCOLN AVE, UNIT 102
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 312 702-3923
  • Facility Type: Other - URGENT CARE FACILITY
  • Facility Type: Waiver
  • Lab Director: ROBERT BIERNBAUM
  • NPI Number: 1528483922
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2056023
LAB Type Other - URGENT CARE FACILITY
Facility Name PHYSICIANS IMMEDIATE CARE
Street 5961 LINCOLN AVE, UNIT 102
City CHICAGO
State IL
ZIP 60659
Phone 312 702-3923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Other - URGENT CARE FACILITY
Lab Director ROBERT BIERNBAUM

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