24D0691339 CLIA NUMBER - ARDEN HILLS DIALYSIS UNIT

Laboratory Demographics

CLIA Number: 24D0691339

Facility Name: ARDEN HILLS DIALYSIS UNIT

Facility Address:
3900 NORTHWOODS DRIVE SUITE 110
ARDEN HILLS, MN
ZIP 55112
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Facility Phone Number: 651 483-3159

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1821052374

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0691339
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ARDEN HILLS DIALYSIS UNIT
Street	3900 NORTHWOODS DRIVE SUITE 110
City	ARDEN HILLS
State	MN
ZIP	55112
Phone	651 483-3159
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024