14D2010539 CLIA NUMBER - CRYSTAL SPRINGS DIALYSIS (D/B/A) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2010539
  • Facility Name: CRYSTAL SPRINGS DIALYSIS (D/B/A) TOTAL RENAL CARE INC
  • Facility Address: 720 COG CIRCLE
    CRYSTAL LAKE, IL
    ZIP 60014
  • Facility Phone: 815 459-4945
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KAROL E. ROSNER MD
  • NPI Number: 1316293269
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2010539
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CRYSTAL SPRINGS DIALYSIS (D/B/A) TOTAL RENAL CARE INC
Street 720 COG CIRCLE
City CRYSTAL LAKE
State IL
ZIP 60014
Phone 815 459-4945
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 KAROL E. ROSNER MD

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