14D2134156 CLIA NUMBER - US RENAL CARE DAN RYAN DIALYSIS USRC WEST CHICAGO, LLC

Laboratory Demographics

  • CLIA Code: 14D2134156
  • Facility Name: US RENAL CARE DAN RYAN DIALYSIS USRC WEST CHICAGO, LLC
  • Facility Address: 112 WEST 87TH ST, STE N
    CHICAGO, IL
    ZIP 60620
  • Facility Phone: 708 831-2601
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ABRAHAM THOMAS
  • NPI Number: 1851813216
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2134156
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE DAN RYAN DIALYSIS USRC WEST CHICAGO, LLC
Street 112 WEST 87TH ST, STE N
City CHICAGO
State IL
ZIP 60620
Phone 708 831-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ABRAHAM THOMAS

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