14D0424639 CLIA NUMBER - EMERALD DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D0424639
  • Facility Name: EMERALD DIALYSIS
  • Facility Address: 710 WEST 43RD STREET
    CHICAGO, IL
    ZIP 60609
  • Facility Phone: 773 843-5668
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: EDWIN L. COOK
  • NPI Number: 1578522215
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0424639
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMERALD DIALYSIS
Street 710 WEST 43RD STREET
City CHICAGO
State IL
ZIP 60609
Phone 773 843-5668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director EDWIN L. COOK

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