14D2140425 CLIA NUMBER - 2HT KIDNEY CARE, LTD

Laboratory Demographics

  • CLIA Code: 14D2140425
  • Facility Name: 2HT KIDNEY CARE, LTD
  • Facility Address: 20 HERITAGE DR
    BOURBONNAIS, IL
    ZIP 60914
  • Facility Phone: 815 937-4880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARITOSH TIWARI M D
  • NPI Number: 1437673571
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2140425
LAB Type Physician Office
Facility Name 2HT KIDNEY CARE, LTD
Street 20 HERITAGE DR
City BOURBONNAIS
State IL
ZIP 60914
Phone 815 937-4880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director PARITOSH TIWARI M D

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