14D2136518 CLIA NUMBER - SOUTHWEST URGENT CARE

Laboratory Demographics

  • CLIA Code: 14D2136518
  • Facility Name: SOUTHWEST URGENT CARE
  • Facility Address: 9900 SOUTHWEST HIGHWAY
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 200-6615
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: PRAVIN PATEL
  • NPI Number: 1629494224
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2136518
LAB Type Independent
Facility Name SOUTHWEST URGENT CARE
Street 9900 SOUTHWEST HIGHWAY
City OAK LAWN
State IL
ZIP 60453
Phone 708 200-6615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Independent
Lab Director PRAVIN PATEL

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