14D0716014 CLIA NUMBER - FRESENIUS MEDICAL CARE GURNEE

Laboratory Demographics

  • CLIA Code: 14D0716014
  • Facility Name: FRESENIUS MEDICAL CARE GURNEE
  • Facility Address: 50 TOWER CT - STE B
    GURNEE, IL
    ZIP 60031
  • Facility Phone: 847 249-5555
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: OMAIMA DEGANI M D
  • NPI Number: 1518352467
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0716014
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE GURNEE
Street 50 TOWER CT - STE B
City GURNEE
State IL
ZIP 60031
Phone 847 249-5555
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 OMAIMA DEGANI M D

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This page was last updated on: 6/4/2025