14D2174789 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

  • CLIA Code: 14D2174789
  • Facility Name: MIDWEST EXPRESS CARE 2, INC
  • Facility Address: 2868 N BROADWAY ST
    CHICAGO, IL
    ZIP 60657
  • Facility Phone: 773 569-3525
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1912546722
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2174789
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 2, INC
Street 2868 N BROADWAY ST
City CHICAGO
State IL
ZIP 60657
Phone 773 569-3525
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

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