14D2097741 CLIA NUMBER - FIRST CARE EXPRESS CARE LLC

Laboratory Demographics

  • CLIA Code: 14D2097741
  • Facility Name: FIRST CARE EXPRESS CARE LLC
  • Facility Address: 10 EMERALD TERRACE, STE C
    SWANSEA, IL
    ZIP 62226
  • Facility Phone: 618 235-6780
  • Facility Type: Other - EXPRESS CARE
  • Facility Type: Waiver
  • Lab Director: KHAJA G. MOHSIN MD
  • NPI Number: 1407245954
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2097741
LAB Type Other - EXPRESS CARE
Facility Name FIRST CARE EXPRESS CARE LLC
Street 10 EMERALD TERRACE, STE C
City SWANSEA
State IL
ZIP 62226
Phone 618 235-6780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Other - EXPRESS CARE
Lab Director KHAJA G. MOHSIN MD

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