16D2010943 CLIA NUMBER - TRI STATE DIALYSIS

Laboratory Demographics

  • CLIA Code: 16D2010943
  • Facility Name: TRI STATE DIALYSIS
  • Facility Address: 107 S 11TH STREET, SUITE 2
    MANCHESTER, IA
    ZIP 52057
  • Facility Phone: (563) 927-2532
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINE BARTELS
  • NPI Number: 1710930086
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D2010943
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRI STATE DIALYSIS
Street 107 S 11TH STREET, SUITE 2
City MANCHESTER
State IA
ZIP 52057
Phone 5639272532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KRISTINE BARTELS

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This page was last updated on: 5/18/2026