14D2119880 CLIA NUMBER - CALUMET CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2119880
  • Facility Name: CALUMET CITY DIALYSIS
  • Facility Address: 1200 SIBLEY BLVD
    CALUMET CITY, IL
    ZIP 60409
  • Facility Phone: 708 862-6454
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE BAYLOCK
  • NPI Number: 1356898944
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2119880
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CALUMET CITY DIALYSIS
Street 1200 SIBLEY BLVD
City CALUMET CITY
State IL
ZIP 60409
Phone 708 862-6454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMIE BAYLOCK

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