14D2273138 CLIA NUMBER - RIDGELAND IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2273138
  • Facility Name: RIDGELAND IMMEDIATE CARE
  • Facility Address: 9830 S RIDGELAND AVE - STE 6
    CHICAGO RIDGE, IL
    ZIP 60415
  • Facility Phone: 708 576-8055
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MOHAMMED A. ALAWAD
  • NPI Number: 1851027890
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2273138
LAB Type Community Clinic
Facility Name RIDGELAND IMMEDIATE CARE
Street 9830 S RIDGELAND AVE - STE 6
City CHICAGO RIDGE
State IL
ZIP 60415
Phone 708 576-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Community Clinic
Lab Director MOHAMMED A. ALAWAD

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