14D2046705 CLIA NUMBER - FRESENIUS MEDICAL CARE CHATHAM L L C

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Laboratory Demographics

CLIA Number: 14D2046705

Facility Name: FRESENIUS MEDICAL CARE CHATHAM L L C

Facility Address:
8710 S HOLLAND RD
CHICAGO, IL
ZIP 60620
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Facility Phone Number: 773 723-2536

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1821363052

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2046705
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS MEDICAL CARE CHATHAM L L C
Street	8710 S HOLLAND RD
City	CHICAGO
State	IL
ZIP	60620
Phone	773 723-2536
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024