24D0691351 CLIA NUMBER - BURNSVILLE DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 24D0691351
  • Facility Name: BURNSVILLE DIALYSIS UNIT
  • Facility Address: 501 E NICOLLET BLVD SUITE 150
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 892-1117
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJIV R. SHAH, MD
  • NPI Number: 1932163490
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0691351
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BURNSVILLE DIALYSIS UNIT
Street 501 E NICOLLET BLVD SUITE 150
City BURNSVILLE
State MN
ZIP 55337
Phone 952 892-1117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJIV R. SHAH, MD

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