14D2014078 CLIA NUMBER - KENWOOD HOME TRAINING (DBA) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2014078
  • Facility Name: KENWOOD HOME TRAINING (DBA) TOTAL RENAL CARE INC
  • Facility Address: 4253 S COTTAGE GROVE AVE, STE 200
    CHICAGO, IL
    ZIP 60653
  • Facility Phone: (773) 702-9893
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ORLY KOHN
  • NPI Number: 1942951488
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2014078
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENWOOD HOME TRAINING (DBA) TOTAL RENAL CARE INC
Street 4253 S COTTAGE GROVE AVE, STE 200
City CHICAGO
State IL
ZIP 60653
Phone 7737029893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ORLY KOHN

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This page was last updated on: 5/18/2026