14D2070915 CLIA NUMBER - CARPENTERSVILLE DIALYSIS (DBA) TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2070915
  • Facility Name: CARPENTERSVILLE DIALYSIS (DBA) TOTAL RENAL CARE INC
  • Facility Address: 2203 RANDALL RD
    CARPENTERSVILLE, IL
    ZIP 60110
  • Facility Phone: 847 426-6456
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AHMAD J. NASIR
  • NPI Number: 1003247750
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2070915
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CARPENTERSVILLE DIALYSIS (DBA) TOTAL RENAL CARE INC
Street 2203 RANDALL RD
City CARPENTERSVILLE
State IL
ZIP 60110
Phone 847 426-6456
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 AHMAD J. NASIR

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