14D2147021 CLIA NUMBER - BRIGHTON PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2147021
  • Facility Name: BRIGHTON PARK DIALYSIS
  • Facility Address: 4737 S CALIFORNIA AVE
    CHICAGO, IL
    ZIP 60632
  • Facility Phone: 773 650-9026
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RITA L. MCGILL M D
  • NPI Number: 1093918708
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D2147021
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRIGHTON PARK DIALYSIS
Street 4737 S CALIFORNIA AVE
City CHICAGO
State IL
ZIP 60632
Phone 773 650-9026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RITA L. MCGILL M D

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