14D2128305 CLIA NUMBER - ULTRAMED URGENT CARE LTD

Laboratory Demographics

CLIA Number: 14D2128305

Facility Name: ULTRAMED URGENT CARE LTD

Facility Address:
5020 W DEMPSTER ST
SKOKIE, IL
ZIP 60077
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Facility Phone Number: 847 423-2264

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1083103709

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2128305
LAB Type	Other - URGENT CARE
Facility Name	ULTRAMED URGENT CARE LTD
Street	5020 W DEMPSTER ST
City	SKOKIE
State	IL
ZIP	60077
Phone	847 423-2264
CertificateType	4
CertificateEffectiveDate	3/28/2023
CertificateExpirationDate	3/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024