14D2166653 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

CLIA Number: 14D2166653

Facility Name: MIDWEST EXPRESS CARE 2, INC

Facility Address:
9735 SKOKIE BLVD
SKOKIE, IL
ZIP 60077
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Facility Phone Number: 847 380-8969

Facility Type: Other - URGENT CARE CLINIC

Certificate Type: Waiver

NPI Number: 1417518432

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2166653
LAB Type	Other - URGENT CARE CLINIC
Facility Name	MIDWEST EXPRESS CARE 2, INC
Street	9735 SKOKIE BLVD
City	SKOKIE
State	IL
ZIP	60077
Phone	847 380-8969
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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