14D2032128 CLIA NUMBER - FRESENIUS MEDICAL CARE-WEST WILLOW

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Laboratory Demographics

CLIA Number: 14D2032128

Facility Name: FRESENIUS MEDICAL CARE-WEST WILLOW

Facility Address:
1444 W WILLOW ST
CHICAGO, IL
ZIP 60642
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Facility Phone Number: (773) 772-4079

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1437458734

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2032128
LAB Type	OTHER
Facility Name	FRESENIUS MEDICAL CARE-WEST WILLOW
Street	1444 W WILLOW ST
City	CHICAGO
State	IL
ZIP	60642
Phone	(773) 772-4079

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