14D2020036 CLIA NUMBER - ADVANCED KIDNEY INSTITUTE

Laboratory Demographics

  • CLIA Code: 14D2020036
  • Facility Name: ADVANCED KIDNEY INSTITUTE
  • Facility Address: 3405 OFFICE PARK DR
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 997-8412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN C. CHEN
  • NPI Number: 1932237815
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2020036
LAB Type Physician Office
Facility Name ADVANCED KIDNEY INSTITUTE
Street 3405 OFFICE PARK DR
City MARION
State IL
ZIP 62959
Phone 618 997-8412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director KEVIN C. CHEN

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