14D2051126 CLIA NUMBER - FRESENIUS MEDICAL CARE MELROSE PARK

Laboratory Demographics

  • CLIA Code: 14D2051126
  • Facility Name: FRESENIUS MEDICAL CARE MELROSE PARK
  • Facility Address: 6 N 9TH AVE
    MELROSE PARK, IL
    ZIP 60160
  • Facility Phone: 703 338-1780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CONSTANTINE G. DELIS
  • NPI Number: 1104931948
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2051126
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE MELROSE PARK
Street 6 N 9TH AVE
City MELROSE PARK
State IL
ZIP 60160
Phone 703 338-1780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CONSTANTINE G. DELIS

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