14D1096093 CLIA NUMBER - FRESENIUS KIDNEY CARE MIDWEST HOME DIALYSIS

Laboratory Demographics

CLIA Number: 14D1096093

Facility Name: FRESENIUS KIDNEY CARE MIDWEST HOME DIALYSIS

Facility Address:
501 W LAKE ST - STE 201
ELMHURST, IL
ZIP 60126
Get Directions

Facility Phone Number: 630 758-2490

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730775636

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D1096093
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE MIDWEST HOME DIALYSIS
Street	501 W LAKE ST - STE 201
City	ELMHURST
State	IL
ZIP	60126
Phone	630 758-2490
CertificateType	4
CertificateEffectiveDate	2/25/2023
CertificateExpirationDate	2/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024