14D2271148 CLIA NUMBER - MIDWEST EXPRESS CLINIC - MATTESON

Laboratory Demographics

  • CLIA Code: 14D2271148
  • Facility Name: MIDWEST EXPRESS CLINIC - MATTESON
  • Facility Address: 402 TOWN CENTER RD
    MATTESON, IL
    ZIP 60443
  • Facility Phone: 708 852-5179
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINDA PALUMBO
  • NPI Number: 1689381444
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2271148
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CLINIC - MATTESON
Street 402 TOWN CENTER RD
City MATTESON
State IL
ZIP 60443
Phone 708 852-5179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Other - URGENT CARE
Lab Director LINDA PALUMBO

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