14D2238271 CLIA NUMBER - MIDWEST EXPRESS CARE 2, INC

Laboratory Demographics

CLIA Number: 14D2238271

Facility Name: MIDWEST EXPRESS CARE 2, INC

Facility Address:
2601 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
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Facility Phone Number: 708 345-8968

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1245977347

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2238271
LAB Type	Other - URGENT CARE
Facility Name	MIDWEST EXPRESS CARE 2, INC
Street	2601 W NORTH AVE
City	MELROSE PARK
State	IL
ZIP	60160
Phone	708 345-8968
CertificateType	4
CertificateEffectiveDate	10/1/2023
CertificateExpirationDate	9/30/2025
FacilityType	Waiver

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