14D2089275 CLIA NUMBER - E MEDIATE CURE

Laboratory Demographics

  • CLIA Code: 14D2089275
  • Facility Name: E MEDIATE CURE
  • Facility Address: 1039 BROOKFOREST AVE
    SHOREWOOD, IL
    ZIP 60404
  • Facility Phone: 815 353-0113
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: AMY A. VERTIN
  • NPI Number: 1780051466
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2089275
LAB Type Other - URGENT CARE
Facility Name E MEDIATE CURE
Street 1039 BROOKFOREST AVE
City SHOREWOOD
State IL
ZIP 60404
Phone 815 353-0113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - URGENT CARE
Lab Director AMY A. VERTIN

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