14D2002337 CLIA NUMBER - WEST LAWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2002337
  • Facility Name: WEST LAWN DIALYSIS
  • Facility Address: 7000 SOUTH PULASKI ROAD
    CHICAGO, IL
    ZIP 60629
  • Facility Phone: 773 284-5324
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. ARVAN
  • NPI Number: 1780814558
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2002337
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WEST LAWN DIALYSIS
Street 7000 SOUTH PULASKI ROAD
City CHICAGO
State IL
ZIP 60629
Phone 773 284-5324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL E. ARVAN

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