24D0870298 CLIA NUMBER - GOLDEN VALLEY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 24D0870298
  • Facility Name: GOLDEN VALLEY DIALYSIS CENTER
  • Facility Address: 6155 DULUTH STREET
    GOLDEN VALLEY, MN
    ZIP 55422
  • Facility Phone: 612 544-2933
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW ESTEN
  • NPI Number: 1013089911
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 24D0870298
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GOLDEN VALLEY DIALYSIS CENTER
Street 6155 DULUTH STREET
City GOLDEN VALLEY
State MN
ZIP 55422
Phone 612 544-2933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREW ESTEN

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