14D0709478 CLIA NUMBER - WSKC DIALYSIS SERVICES INC

Laboratory Demographics

CLIA Number: 14D0709478

Facility Name: WSKC DIALYSIS SERVICES INC

Facility Address:
455 MERCY LANE
AURORA, IL
ZIP 60505
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Facility Phone Number: 630 892-7445

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1760597504

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0709478
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WSKC DIALYSIS SERVICES INC
Street	455 MERCY LANE
City	AURORA
State	IL
ZIP	60505
Phone	630 892-7445
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024