14D2015594 CLIA NUMBER - FRESENIUS MEDICAL CARE OF ELGIN

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Laboratory Demographics

CLIA Number: 14D2015594

Facility Name: FRESENIUS MEDICAL CARE OF ELGIN

Facility Address:
2130 POINT BLVD, STE 800
ELGIN, IL
ZIP 60123
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Facility Phone Number: 847 428-3605

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1740595800

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2015594
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE OF ELGIN
Street	2130 POINT BLVD, STE 800
City	ELGIN
State	IL
ZIP	60123
Phone	847 428-3605
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024