14D2150535 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

  • CLIA Code: 14D2150535
  • Facility Name: MIDWEST EXPRESS CARE 2, INC
  • Facility Address: 3258 W 111TH ST
    CHICAGO, IL
    ZIP 60655
  • Facility Phone: 773 629-8217
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINDA PALUMBO
  • NPI Number: 1053890517
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2150535
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 2, INC
Street 3258 W 111TH ST
City CHICAGO
State IL
ZIP 60655
Phone 773 629-8217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Other - URGENT CARE
Lab Director LINDA PALUMBO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025