14D0686667 CLIA NUMBER - RENAL CENTER WEST JOLIET (DBA) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D0686667
  • Facility Name: RENAL CENTER WEST JOLIET (DBA) TOTAL RENAL CARE INC
  • Facility Address: 1051 ESSINGTON RD SUITE 160
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 729-9240
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PREETI R. NAGARKATTE
  • NPI Number: 1134489917
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0686667
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CENTER WEST JOLIET (DBA) TOTAL RENAL CARE INC
Street 1051 ESSINGTON RD SUITE 160
City JOLIET
State IL
ZIP 60435
Phone 815 729-9240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PREETI R. NAGARKATTE

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