14D2281886 CLIA NUMBER - MIDWEST EXPRESS CARE 2, LLC

Laboratory Demographics

  • CLIA Code: 14D2281886
  • Facility Name: MIDWEST EXPRESS CARE 2, LLC
  • Facility Address: 4801 SAUK TRAIL
    RICHTON PARK, IL
    ZIP 60471
  • Facility Phone: 708 773-1643
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: LINDA PALUMBO
  • NPI Number: 1801674429
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2281886
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 2, LLC
Street 4801 SAUK TRAIL
City RICHTON PARK
State IL
ZIP 60471
Phone 708 773-1643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2023
Certificate Expiration Date 5/11/2025
Facility Type Other - URGENT CARE
Lab Director LINDA PALUMBO

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This page was last updated on: 3/20/2025