16D1019819 CLIA NUMBER - TRI-STATE DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D1019819
  • Facility Name: TRI-STATE DIALYSIS
  • Facility Address: 1500 DELHI STREET, SUITE 2100
    DUBUQUE, IA
    ZIP 52001
  • Facility Phone: 563 589-4033
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW VANDERHEYDEN
  • NPI Number: 1295788214
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D1019819
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRI-STATE DIALYSIS
Street 1500 DELHI STREET, SUITE 2100
City DUBUQUE
State IA
ZIP 52001
Phone 563 589-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREW VANDERHEYDEN

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