14D1004566 CLIA NUMBER - CHICAGO HEIGHTS DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D1004566
  • Facility Name: CHICAGO HEIGHTS DIALYSIS
  • Facility Address: 177 WEST JOE ORR ROAD, STE B
    CHICAGO HEIGHTS, IL
    ZIP 60411
  • Facility Phone: 708 755-9000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DONALD HOLLANDSWORTH
  • NPI Number: 1881654325
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1004566
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHICAGO HEIGHTS DIALYSIS
Street 177 WEST JOE ORR ROAD, STE B
City CHICAGO HEIGHTS
State IL
ZIP 60411
Phone 708 755-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DONALD HOLLANDSWORTH

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