14D1067101 CLIA NUMBER - EDENS HOME DIALYSIS TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D1067101
  • Facility Name: EDENS HOME DIALYSIS TOTAL RENAL CARE INC
  • Facility Address: 8950 GROSS POINT RD, STE 300
    SKOKIE, IL
    ZIP 60077
  • Facility Phone: 874 886-3225
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN W. NASH
  • NPI Number: 1780179838
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1067101
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EDENS HOME DIALYSIS TOTAL RENAL CARE INC
Street 8950 GROSS POINT RD, STE 300
City SKOKIE
State IL
ZIP 60077
Phone 874 886-3225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN W. NASH

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