14D2043620 CLIA NUMBER - MC HENRY DIALYSIS CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D2043620
  • Facility Name: MC HENRY DIALYSIS CENTER LLC
  • Facility Address: 4209 SHAMROCK LN, UNIT A
    MCHENRY, IL
    ZIP 60050
  • Facility Phone: 815 344-8512
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD ZAHID MD
  • NPI Number: 1760749642
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2043620
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MC HENRY DIALYSIS CENTER LLC
Street 4209 SHAMROCK LN, UNIT A
City MCHENRY
State IL
ZIP 60050
Phone 815 344-8512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD ZAHID MD

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