14D2298769 CLIA NUMBER - MIDWEST EXPRESS CLINIC - WESTMONT

Laboratory Demographics

  • CLIA Code: 14D2298769
  • Facility Name: MIDWEST EXPRESS CLINIC - WESTMONT
  • Facility Address: 6320 S CASS AVE
    WESTMONT, IL
    ZIP 60559
  • Facility Phone: 331 481-6869
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1760223663
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2298769
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CLINIC - WESTMONT
Street 6320 S CASS AVE
City WESTMONT
State IL
ZIP 60559
Phone 331 481-6869
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Other - URGENT CARE
Lab Director SENETTA WILSON

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