14D0709494 CLIA NUMBER - GLENVIEW DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 14D0709494
  • Facility Name: GLENVIEW DIALYSIS CENTER
  • Facility Address: 4248 COMMERCIAL WAY
    GLENVIEW, IL
    ZIP 60025
  • Facility Phone: (847) 824-2006
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VENKATA YERRAM R. BEHARA
  • NPI Number: 1932214772
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0709494
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLENVIEW DIALYSIS CENTER
Street 4248 COMMERCIAL WAY
City GLENVIEW
State IL
ZIP 60025
Phone 8478242006
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 VENKATA YERRAM R. BEHARA

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This page was last updated on: 5/15/2026