14D2281689 CLIA NUMBER - MIDWEST EXPRES CARE 2, LLC

Laboratory Demographics

CLIA Number: 14D2281689

Facility Name: MIDWEST EXPRES CARE 2, LLC

Facility Address:
207 E BUTTERFIELD RD
ELMHURST, IL
ZIP 60126
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Facility Phone Number: 630 359-8054

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1225816846

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2281689
LAB Type	Other - URGENT CARE
Facility Name	MIDWEST EXPRES CARE 2, LLC
Street	207 E BUTTERFIELD RD
City	ELMHURST
State	IL
ZIP	60126
Phone	630 359-8054
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

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