14D2166531 CLIA NUMBER - PREFERRED URGENT CARE L L C

Laboratory Demographics

  • CLIA Code: 14D2166531
  • Facility Name: PREFERRED URGENT CARE L L C
  • Facility Address: 1554 TODD FARM DR
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 847 888-7423
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASER RUSTOM M D
  • NPI Number: 1730632209
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D2166531
LAB Type Physician Office
Facility Name PREFERRED URGENT CARE L L C
Street 1554 TODD FARM DR
City ELGIN
State IL
ZIP 60123
Phone 847 888-7423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director NASER RUSTOM M D

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