14D0709530 CLIA NUMBER - FRESENIUS MEDICAL CARE OAK PARK

Laboratory Demographics

CLIA Number: 14D0709530

Facility Name: FRESENIUS MEDICAL CARE OAK PARK

Facility Address:
733 MADISON ST
OAK PARK, IL
ZIP 60302
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Facility Phone Number: 708 386-8757

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1558615062

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0709530
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OAK PARK
Street	733 MADISON ST
City	OAK PARK
State	IL
ZIP	60302
Phone	708 386-8757
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