14D2225865 CLIA NUMBER - MIDWEST EXPRESS CLINIC - GAGE PARK

Laboratory Demographics

  • CLIA Code: 14D2225865
  • Facility Name: MIDWEST EXPRESS CLINIC - GAGE PARK
  • Facility Address: 5521 S KEDZIE AVE - UNIT 106
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 773 306-2546
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINDA PALUMBO
  • NPI Number: 1659952554
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2225865
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CLINIC - GAGE PARK
Street 5521 S KEDZIE AVE - UNIT 106
City CHICAGO
State IL
ZIP 60629
Phone 773 306-2546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Other - URGENT CARE
Lab Director LINDA PALUMBO

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