14D0709492 CLIA NUMBER - ELK GROVE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 14D0709492
  • Facility Name: ELK GROVE DIALYSIS CENTER
  • Facility Address: 901 BIESTERFIELD ROAD SUITE 400
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 437-0824
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LISA L. PILLSBURY M D
  • NPI Number: 1023123866
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0709492
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELK GROVE DIALYSIS CENTER
Street 901 BIESTERFIELD ROAD SUITE 400
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 437-0824
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 LISA L. PILLSBURY M D

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