14D2082632 CLIA NUMBER - HARVEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2082632
  • Facility Name: HARVEY DIALYSIS
  • Facility Address: 16641 S HALSTEAD ST, STE A
    HARVEY, IL
    ZIP 60426
  • Facility Phone: 708 210-9500
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. EVANS
  • NPI Number: 1144637224
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2082632
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARVEY DIALYSIS
Street 16641 S HALSTEAD ST, STE A
City HARVEY
State IL
ZIP 60426
Phone 708 210-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WILLIAM B. EVANS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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