14D2252795 CLIA NUMBER - MIDWEST EXPRESS CARE 2, LLC

Laboratory Demographics

  • CLIA Code: 14D2252795
  • Facility Name: MIDWEST EXPRESS CARE 2, LLC
  • Facility Address: 1122 WILLOW RD
    NORTHBROOK, IL
    ZIP 60062
  • Facility Phone: 847 714-1220
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1891443321
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2252795
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 2, LLC
Street 1122 WILLOW RD
City NORTHBROOK
State IL
ZIP 60062
Phone 847 714-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Other - URGENT CARE
Lab Director SENETTA WILSON

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