14D2165413 CLIA NUMBER - DIALYSIS CARE CENTER ELGIN, L L C

Laboratory Demographics

CLIA Number: 14D2165413

Facility Name: DIALYSIS CARE CENTER ELGIN, L L C

Facility Address:
995 N RANDALL RD
ELGIN, IL
ZIP 60123
Get Directions

Facility Phone Number: 708 645-1000

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1952965253

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2165413
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CARE CENTER ELGIN, L L C
Street	995 N RANDALL RD
City	ELGIN
State	IL
ZIP	60123
Phone	708 645-1000
CertificateType	4
CertificateEffectiveDate	4/26/2023
CertificateExpirationDate	4/25/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024