14D2135690 CLIA NUMBER - FOREST CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2135690
  • Facility Name: FOREST CITY DIALYSIS
  • Facility Address: 198 NORTH SPRINGFIELD AVE
    ROCKFORD, IL
    ZIP 61101
  • Facility Phone: 815 962-8914
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARLENE MURDAKES MD
  • NPI Number: 1033658349
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2135690
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOREST CITY DIALYSIS
Street 198 NORTH SPRINGFIELD AVE
City ROCKFORD
State IL
ZIP 61101
Phone 815 962-8914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARLENE MURDAKES MD

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