14D0709558 CLIA NUMBER - WEST SUBURBAN DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 14D0709558
  • Facility Name: WEST SUBURBAN DIALYSIS CENTER
  • Facility Address: 518 N AUSTIN BLVD, STE 5000
    OAK PARK, IL
    ZIP 60302
  • Facility Phone: 708 386-5550
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHIRLEY TAYLOR
  • NPI Number: 1538275466
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0709558
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST SUBURBAN DIALYSIS CENTER
Street 518 N AUSTIN BLVD, STE 5000
City OAK PARK
State IL
ZIP 60302
Phone 708 386-5550
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 SHIRLEY TAYLOR

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