14D0716023 CLIA NUMBER - FRESENIUS MEDICAL CARE SOUTH CHICAGO DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D0716023
  • Facility Name: FRESENIUS MEDICAL CARE SOUTH CHICAGO DIALYSIS
  • Facility Address: 9200 S CHICAGO AVENUE
    CHICAGO, IL
    ZIP 60617
  • Facility Phone: 773 734-7433
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KAREEN R. SIMPSON M D
  • NPI Number: 1194158469
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0716023
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE SOUTH CHICAGO DIALYSIS
Street 9200 S CHICAGO AVENUE
City CHICAGO
State IL
ZIP 60617
Phone 773 734-7433
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 KAREEN R. SIMPSON M D

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This page was last updated on: 3/20/2025