14D1038951 CLIA NUMBER - STONY CREEK DIALYSIS RENAL LIFE LINK INC

Laboratory Demographics

  • CLIA Code: 14D1038951
  • Facility Name: STONY CREEK DIALYSIS RENAL LIFE LINK INC
  • Facility Address: 6246 WEST 95TH ST
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 423-0300
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JAMES RYDEL, MD
  • NPI Number: 1295821304
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1038951
LAB Type Independent
Facility Name STONY CREEK DIALYSIS RENAL LIFE LINK INC
Street 6246 WEST 95TH ST
City OAK LAWN
State IL
ZIP 60453
Phone 708 423-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Independent
Lab Director JAMES RYDEL, MD

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