14D0709561 CLIA NUMBER - DOWNERS GROVE DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 14D0709561

Facility Name: DOWNERS GROVE DIALYSIS CENTER

Facility Address:
3825 HIGHLAND SUITE 102
DOWNERS GROVE, IL
ZIP 60515
Get Directions

Facility Phone Number: 630 964-2605

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1114032950

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D0709561
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DOWNERS GROVE DIALYSIS CENTER
Street	3825 HIGHLAND SUITE 102
City	DOWNERS GROVE
State	IL
ZIP	60515
Phone	630 964-2605
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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