14D1095182 CLIA NUMBER - METROPOLIS DIALYSIS SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D1095182
  • Facility Name: METROPOLIS DIALYSIS SERVICES LLC
  • Facility Address: 20 HOSPITAL DR
    METROPOLIS, IL
    ZIP 62960
  • Facility Phone: 618 524-3046
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TRACY S. FISHER
  • NPI Number: 1255648267
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1095182
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name METROPOLIS DIALYSIS SERVICES LLC
Street 20 HOSPITAL DR
City METROPOLIS
State IL
ZIP 62960
Phone 618 524-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TRACY S. FISHER

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This page was last updated on: 3/20/2025