14D2131462 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

CLIA Number: 14D2131462

Facility Name: MIDWEST EXPRESS CARE 2, INC

Facility Address:
12200 S WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Get Directions

Facility Phone Number: 708 631-2781

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1588225502

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2131462
LAB Type	Other - URGENT CARE
Facility Name	MIDWEST EXPRESS CARE 2, INC
Street	12200 S WESTERN AVE
City	BLUE ISLAND
State	IL
ZIP	60406
Phone	708 631-2781
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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