14D2156196 CLIA NUMBER - FORD CITY DIALYSIS TOTAL RENAL CARE INC

Laboratory Demographics

  • CLIA Code: 14D2156196
  • Facility Name: FORD CITY DIALYSIS TOTAL RENAL CARE INC
  • Facility Address: 8159 S CICERO AVE
    CHICAGO, IL
    ZIP 60652
  • Facility Phone: 773 735-8820
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL ARVAN
  • NPI Number: 1154801702
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2156196
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORD CITY DIALYSIS TOTAL RENAL CARE INC
Street 8159 S CICERO AVE
City CHICAGO
State IL
ZIP 60652
Phone 773 735-8820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MICHAEL ARVAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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