14D2043893 CLIA NUMBER - GLEN DIALYSIS TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2043893
  • Facility Name: GLEN DIALYSIS TOTAL RENAL CARE INC
  • Facility Address: 2601 COMPASS RD, STE 145
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 268-3091
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STUART M. SPRAGUE
  • NPI Number: 1568957637
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2043893
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLEN DIALYSIS TOTAL RENAL CARE INC
Street 2601 COMPASS RD, STE 145
City GLENVIEW
State IL
ZIP 60026
Phone 847 268-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STUART M. SPRAGUE

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