14D1107092 CLIA NUMBER - ROBINSON DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D1107092
  • Facility Name: ROBINSON DIALYSIS
  • Facility Address: 1215 NORTH ALLEN STREET, STE B
    ROBINSON, IL
    ZIP 62454
  • Facility Phone: 618 544-7092
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAFAEL LAO
  • NPI Number: 1306086103
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1107092
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROBINSON DIALYSIS
Street 1215 NORTH ALLEN STREET, STE B
City ROBINSON
State IL
ZIP 62454
Phone 618 544-7092
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAFAEL LAO

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