14D2325277 CLIA NUMBER - NORTH AVE IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 14D2325277
  • Facility Name: NORTH AVE IMMEDIATE CARE
  • Facility Address: 350 W NORTH AVE
    ADDISON, IL
    ZIP 60101
  • Facility Phone: 773 744-7864
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRZA A. BAIG
  • NPI Number: 1982306742
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2325277
LAB Type Physician Office
Facility Name NORTH AVE IMMEDIATE CARE
Street 350 W NORTH AVE
City ADDISON
State IL
ZIP 60101
Phone 773 744-7864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director MIRZA A. BAIG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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