14D2035118 CLIA NUMBER - WAUKEGAN HOME TRAINING (D/B/A) ISD RENAL INC

Laboratory Demographics

  • CLIA Code: 14D2035118
  • Facility Name: WAUKEGAN HOME TRAINING (D/B/A) ISD RENAL INC
  • Facility Address: 3350 WEST GRAND AVE, STE 101
    WAUKEGAN, IL
    ZIP 60085
  • Facility Phone: 847 599-6057
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN FREELAND
  • NPI Number: 1417978156
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2035118
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WAUKEGAN HOME TRAINING (D/B/A) ISD RENAL INC
Street 3350 WEST GRAND AVE, STE 101
City WAUKEGAN
State IL
ZIP 60085
Phone 847 599-6057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN FREELAND

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