14D2023960 CLIA NUMBER - GRAND CROSSING DIALYSIS

Home > CLIA Lookup > 14D2023960

Laboratory Demographics

CLIA Number: 14D2023960

Facility Name: GRAND CROSSING DIALYSIS

Facility Address:
7319 S COTTAGE GROVE AVE
CHICAGO, IL
ZIP 60619
Get Directions

Facility Phone Number: (773) 783-3491

Facility Type: END STAGE RENAL DISEASE DIALYSIS

Certificate Type: Waiver

NPI Number: 1730488214

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2023960
LAB Type	END STAGE RENAL DISEASE DIALYSIS
Facility Name	GRAND CROSSING DIALYSIS
Street	7319 S COTTAGE GROVE AVE
City	CHICAGO
State	IL
ZIP	60619
Phone	(773) 783-3491

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023