14D0676589 CLIA NUMBER - US RENAL CARE SCOTTSDALE DIALYSIS DBA DIALYSIS NEWCO LLC

Laboratory Demographics

  • CLIA Code: 14D0676589
  • Facility Name: US RENAL CARE SCOTTSDALE DIALYSIS DBA DIALYSIS NEWCO LLC
  • Facility Address: 4651 W 79TH ST, SUITE 100
    CHICAGO, IL
    ZIP 60652
  • Facility Phone: 773 582-8911
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEANETTE S. MCLAUGHLIN M D
  • NPI Number: 1053696674
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0676589
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE SCOTTSDALE DIALYSIS DBA DIALYSIS NEWCO LLC
Street 4651 W 79TH ST, SUITE 100
City CHICAGO
State IL
ZIP 60652
Phone 773 582-8911
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 JEANETTE S. MCLAUGHLIN M D

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