24D0691406 CLIA NUMBER - MINNEAPOLIS DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 24D0691406
  • Facility Name: MINNEAPOLIS DIALYSIS UNIT
  • Facility Address: 825 SOUTH EIGHTH STREET SL42
    MINNEAPOLIS, MN
    ZIP 55404
  • Facility Phone: 612 347-5972
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BERTRAM KASISKE
  • NPI Number: 1982668380
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0691406
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MINNEAPOLIS DIALYSIS UNIT
Street 825 SOUTH EIGHTH STREET SL42
City MINNEAPOLIS
State MN
ZIP 55404
Phone 612 347-5972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BERTRAM KASISKE

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