14D2299301 CLIA NUMBER - MIDWEST EXPRESS CLINIC - CHICAGO RIDGE

Laboratory Demographics

  • CLIA Code: 14D2299301
  • Facility Name: MIDWEST EXPRESS CLINIC - CHICAGO RIDGE
  • Facility Address: 9900 S RIDGELAND AVE #415301
    CHICAGO RIDGE, IL
    ZIP 60415
  • Facility Phone: 708 312-1399
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SENETTA WILSON
  • NPI Number: 1972344869
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2299301
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CLINIC - CHICAGO RIDGE
Street 9900 S RIDGELAND AVE #415301
City CHICAGO RIDGE
State IL
ZIP 60415
Phone 708 312-1399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Other - URGENT CARE
Lab Director SENETTA WILSON

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