14D2070913 CLIA NUMBER - MARENGO CITY DIALYSIS (DBA) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2070913
  • Facility Name: MARENGO CITY DIALYSIS (DBA) TOTAL RENAL CARE INC
  • Facility Address: 910 GREENLEE ST, STE B
    MARENGO, IL
    ZIP 60152
  • Facility Phone: 815 568-5800
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AAMIR A. MEMON
  • NPI Number: 1831529023
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2070913
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MARENGO CITY DIALYSIS (DBA) TOTAL RENAL CARE INC
Street 910 GREENLEE ST, STE B
City MARENGO
State IL
ZIP 60152
Phone 815 568-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AAMIR A. MEMON

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