14D0916668 CLIA NUMBER - FOX VALLEY DIALYSIS LABORATORY

Laboratory Demographics

  • CLIA Code: 14D0916668
  • Facility Name: FOX VALLEY DIALYSIS LABORATORY
  • Facility Address: 1300 WATERFORD DRIVE
    AURORA, IL
    ZIP 60504
  • Facility Phone: 708 844-1960
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HARRY RUBINSTEIN
  • NPI Number: 1912900192
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0916668
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOX VALLEY DIALYSIS LABORATORY
Street 1300 WATERFORD DRIVE
City AURORA
State IL
ZIP 60504
Phone 708 844-1960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HARRY RUBINSTEIN

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