14D2010537 CLIA NUMBER - COBBLESTONE DIALYSIS (D/B/A) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2010537
  • Facility Name: COBBLESTONE DIALYSIS (D/B/A) TOTAL RENAL CARE INC
  • Facility Address: 836 DUNDEE AVE, STE A
    ELGIN, IL
    ZIP 60120
  • Facility Phone: 224 783-8754
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAVI K. DAMARAJU
  • NPI Number: 1962715284
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2010537
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COBBLESTONE DIALYSIS (D/B/A) TOTAL RENAL CARE INC
Street 836 DUNDEE AVE, STE A
City ELGIN
State IL
ZIP 60120
Phone 224 783-8754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAVI K. DAMARAJU

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