14D2299387 CLIA NUMBER - MIDLIFE CARE SERVICES, INC

Laboratory Demographics

  • CLIA Code: 14D2299387
  • Facility Name: MIDLIFE CARE SERVICES, INC
  • Facility Address: 2721 W PETERSON AVE - STE 102
    CHICAGO, IL
    ZIP 60659
  • Facility Phone: 773 312-0874
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MOHAMMED NAZEER AHMED
  • NPI Number: 1952152605
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2299387
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MIDLIFE CARE SERVICES, INC
Street 2721 W PETERSON AVE - STE 102
City CHICAGO
State IL
ZIP 60659
Phone 773 312-0874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MOHAMMED NAZEER AHMED

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