14D2145783 CLIA NUMBER - KLIMUK IMMEDIATE CARE L L C

Laboratory Demographics

  • Code: 14D2145783
  • Facility Name: KLIMUK IMMEDIATE CARE L L C
  • Facility Address: 3100 W HIGGINS RD - STE 135
    HOFFMAN ESTATES, IL
    ZIP 60169
  • Facility Phone: 847 466-5472
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1538687751
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 14D2145783
LAB Type Physician Office
Facility Name KLIMUK IMMEDIATE CARE L L C
Street 3100 W HIGGINS RD - STE 135
City HOFFMAN ESTATES
State IL
ZIP 60169
Phone 847 466-5472
Certificate Type 4
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Waiver

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