14D2162685 CLIA NUMBER - OAK MEADOWS DIALYSIS MOTTE DIALYSIS L L C

Laboratory Demographics

  • CLIA Code: 14D2162685
  • Facility Name: OAK MEADOWS DIALYSIS MOTTE DIALYSIS L L C
  • Facility Address: 5020 W 95TH ST
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 229-0778
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SREYA PALLATH
  • NPI Number: 1932664224
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2162685
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OAK MEADOWS DIALYSIS MOTTE DIALYSIS L L C
Street 5020 W 95TH ST
City OAK LAWN
State IL
ZIP 60453
Phone 708 229-0778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SREYA PALLATH

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