14D2289510 CLIA NUMBER - UNITED RENAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 14D2289510
  • Facility Name: UNITED RENAL SERVICES LLC
  • Facility Address: 7530 S WOODWARD AVE #G
    WOODRIDGE, IL
    ZIP 60517
  • Facility Phone: 630 378-8000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RIZWAN MOINUDDIN
  • NPI Number: 1093413544
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2289510
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNITED RENAL SERVICES LLC
Street 7530 S WOODWARD AVE #G
City WOODRIDGE
State IL
ZIP 60517
Phone 630 378-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RIZWAN MOINUDDIN

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