14D2049665 CLIA NUMBER - U S RENAL CARE VILLA PARK DIALYSIS U S R C VILLA PARK L L C

Laboratory Demographics

  • CLIA Code: 14D2049665
  • Facility Name: U S RENAL CARE VILLA PARK DIALYSIS U S R C VILLA PARK L L C
  • Facility Address: 200 E NORTH AVE
    VILLA PARK, IL
    ZIP 60181
  • Facility Phone: 630 530-5237
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. COHAN
  • NPI Number: 1649675950
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2049665
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name U S RENAL CARE VILLA PARK DIALYSIS U S R C VILLA PARK L L C
Street 200 E NORTH AVE
City VILLA PARK
State IL
ZIP 60181
Phone 630 530-5237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL L. COHAN

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