14D2174785 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

CLIA Number: 14D2174785

Facility Name: MIDWEST EXPRESS CARE 2, INC

Facility Address:
1520 N DAMEN AVE
CHICAGO, IL
ZIP 60622
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Facility Phone Number: 312 283-5560

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1447899422

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2174785
LAB Type	Other - URGENT CARE
Facility Name	MIDWEST EXPRESS CARE 2, INC
Street	1520 N DAMEN AVE
City	CHICAGO
State	IL
ZIP	60622
Phone	312 283-5560
CertificateType	4
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Waiver

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