14D2174785 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

  • CLIA Code: 14D2174785
  • Facility Name: MIDWEST EXPRESS CARE 2, INC
  • Facility Address: 1520 N DAMEN AVE
    CHICAGO, IL
    ZIP 60622
  • Facility Phone: 312 283-5560
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1447899422
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - URGENT CARE
Lab Director SENETTA WILSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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