14D2079512 CLIA NUMBER - PROMPTMED URGENT CARE

Laboratory Demographics

  • CLIA Code: 14D2079512
  • Facility Name: PROMPTMED URGENT CARE
  • Facility Address: 724 N GREEN BAY RD
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: (917) 957-5563
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JOHN JURICA M D
  • NPI Number: 1285048975
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2079512
LAB Type Other - URGENT CARE
Facility Name PROMPTMED URGENT CARE
Street 724 N GREEN BAY RD
City WAUKEGAN
State IL
ZIP 60085
Phone 9179575563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - URGENT CARE
Lab Director JOHN JURICA M D

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This page was last updated on: 5/18/2026