14D2101142 CLIA NUMBER - MIDWEST ORTHOPAEDICS AT RUSH LLC

Laboratory Demographics

  • CLIA Code: 14D2101142
  • Facility Name: MIDWEST ORTHOPAEDICS AT RUSH LLC
  • Facility Address: 2450 S WOLF RD, STE C
    WESTCHESTER, IL
    ZIP 60154
  • Facility Phone: 708 236-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN COLE MD
  • NPI Number: 1184004244
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D2101142
LAB Type Physician Office
Facility Name MIDWEST ORTHOPAEDICS AT RUSH LLC
Street 2450 S WOLF RD, STE C
City WESTCHESTER
State IL
ZIP 60154
Phone 708 236-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director BRIAN COLE MD

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