14D2178734 CLIA NUMBER - RUTGERS PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 14D2178734
  • Facility Name: RUTGERS PARK DIALYSIS
  • Facility Address: 8604 WOODWARD AVE
    WOODRIDGE, IL
    ZIP 60517
  • Facility Phone: 331 260-9226
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KRISTIE DELANEY M D
  • NPI Number: 1730725904
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2178734
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RUTGERS PARK DIALYSIS
Street 8604 WOODWARD AVE
City WOODRIDGE
State IL
ZIP 60517
Phone 331 260-9226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KRISTIE DELANEY M D

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