15D0955759 CLIA NUMBER - COMPREHENSIVE RENAL CARE - EAST CHICAGO

Laboratory Demographics

  • CLIA Code: 15D0955759
  • Facility Name: COMPREHENSIVE RENAL CARE - EAST CHICAGO
  • Facility Address: 4320 FIR ST STE 404
    EAST CHICAGO, IN
    ZIP 46312
  • Facility Phone: 219 397-1199
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD TINAWL
  • NPI Number: 1578526216
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0955759
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMPREHENSIVE RENAL CARE - EAST CHICAGO
Street 4320 FIR ST STE 404
City EAST CHICAGO
State IN
ZIP 46312
Phone 219 397-1199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD TINAWL

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