14D0971654 CLIA NUMBER - ELK GROVE HOME DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 14D0971654
  • Facility Name: ELK GROVE HOME DIALYSIS CENTER
  • Facility Address: 901 BIESTERFIELD RD SUITE 401
    ELK GROVE VILLAGE, IL
    ZIP 60007
  • Facility Phone: 847 952-9866
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LISA L. PILLSBURY MD
  • NPI Number: 1629186549
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0971654
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELK GROVE HOME DIALYSIS CENTER
Street 901 BIESTERFIELD RD SUITE 401
City ELK GROVE VILLAGE
State IL
ZIP 60007
Phone 847 952-9866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LISA L. PILLSBURY MD

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