14D2069056 CLIA NUMBER - KIDNEY CARE CENTER ELGIN L L C

Laboratory Demographics

  • CLIA Code: 14D2069056
  • Facility Name: KIDNEY CARE CENTER ELGIN L L C
  • Facility Address: 1750 N RANDALL RD
    ELGIN, IL
    ZIP 60123
  • Facility Phone: 224 238-3211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MORUFU ALAUSA
  • NPI Number: 1508126764
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2069056
LAB Type Physician Office
Facility Name KIDNEY CARE CENTER ELGIN L L C
Street 1750 N RANDALL RD
City ELGIN
State IL
ZIP 60123
Phone 224 238-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director MORUFU ALAUSA

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