14D2166653 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

  • CLIA Code: 14D2166653
  • Facility Name: MIDWEST EXPRESS CARE 2, INC
  • Facility Address: 9735 SKOKIE BLVD
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 847 380-8969
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1417518432
  • Taxonomy: 261QU0200X - Clinic/Center

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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
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 CLINIC
Lab Director SENETTA WILSON

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