14D1056503 CLIA NUMBER - FRESENIUS MEDICAL CARE OF LAKEVIEW

Laboratory Demographics

CLIA Number: 14D1056503

Facility Name: FRESENIUS MEDICAL CARE OF LAKEVIEW

Facility Address:
4008 NORTH BROADWAY AVENUE, SUITE 1200
CHICAGO, IL
ZIP 60613
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Facility Phone Number: (773) 248-3105

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1184057457

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 14D1056503
LAB Type END STAGE RENAL DISEASE DIALYSIS
Facility Name FRESENIUS MEDICAL CARE OF LAKEVIEW
Street 4008 NORTH BROADWAY AVENUE, SUITE 1200
City CHICAGO
State IL
ZIP 60613
Phone (773) 248-3105

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This page was last updated on: 5/11/2023