14D2044257 CLIA NUMBER - RENAL CENTER NEW LENOX (DBA) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2044257
  • Facility Name: RENAL CENTER NEW LENOX (DBA) TOTAL RENAL CARE INC
  • Facility Address: 1890 SILVER CROSS BLVD, #150
    NEW LENOX, IL
    ZIP 60451
  • Facility Phone: 815 740-7144
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAILIA AHMED M D
  • NPI Number: 1922368729
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2044257
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CENTER NEW LENOX (DBA) TOTAL RENAL CARE INC
Street 1890 SILVER CROSS BLVD, #150
City NEW LENOX
State IL
ZIP 60451
Phone 815 740-7144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAILIA AHMED M D

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