14D1106443 CLIA NUMBER - ADAMS COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D1106443
  • Facility Name: ADAMS COUNTY DIALYSIS
  • Facility Address: 436 NORTH 10TH STREET
    QUINCY, IL
    ZIP 62301
  • Facility Phone: 217 223-1200
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HRISHIKESH P. GHANEKAR
  • NPI Number: 1225198310
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 14D1106443
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ADAMS COUNTY DIALYSIS
Street 436 NORTH 10TH STREET
City QUINCY
State IL
ZIP 62301
Phone 217 223-1200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HRISHIKESH P. GHANEKAR

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