14D1088500 CLIA NUMBER - FRESSENIUS KIDNEY CARE JOLIET HOME DIALYSIS NETWOR

Laboratory Demographics

  • CLIA Code: 14D1088500
  • Facility Name: FRESSENIUS KIDNEY CARE JOLIET HOME DIALYSIS NETWOR
  • Facility Address: 95 N 129TH INFANTRY DR
    JOLIET, IL
    ZIP 60435
  • Facility Phone: 815 729-1110
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RISHIKESH MOREY
  • NPI Number: 1508238718
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D1088500
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESSENIUS KIDNEY CARE JOLIET HOME DIALYSIS NETWOR
Street 95 N 129TH INFANTRY DR
City JOLIET
State IL
ZIP 60435
Phone 815 729-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RISHIKESH MOREY

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This page was last updated on: 6/4/2025