14D2133907 CLIA NUMBER - DIALYSIS CARE CENTER OLYMPIA FIELDS L L C

Laboratory Demographics

  • CLIA Code: 14D2133907
  • Facility Name: DIALYSIS CARE CENTER OLYMPIA FIELDS L L C
  • Facility Address: 3322 VOLLMER RD, SUITE C
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 964-2250
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TAUSEEF A. SARGUROH
  • NPI Number: 1003368440
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2133907
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CARE CENTER OLYMPIA FIELDS L L C
Street 3322 VOLLMER RD, SUITE C
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 964-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TAUSEEF A. SARGUROH

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