14D2166650 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

  • CLIA Code: 14D2166650
  • Facility Name: MIDWEST EXPRESS CARE 2, INC
  • Facility Address: 7343 LAKE ST
    RIVER FOREST, IL
    ZIP 60305
  • Facility Phone: 708 231-8980
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1588225502
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2166650
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 2, INC
Street 7343 LAKE ST
City RIVER FOREST
State IL
ZIP 60305
Phone 708 231-8980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Other - URGENT CARE
Lab Director SENETTA WILSON

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