24D0882099 CLIA NUMBER - FARIBAULT DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 24D0882099
  • Facility Name: FARIBAULT DIALYSIS UNIT
  • Facility Address: 201 SOUTH LYNDALE AVENUE SUITE F
    FARIBAULT, MN
    ZIP 55021
  • Facility Phone: 507 334-0306
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS O'BRYAN MD
  • NPI Number: 1235597014
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 24D0882099
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FARIBAULT DIALYSIS UNIT
Street 201 SOUTH LYNDALE AVENUE SUITE F
City FARIBAULT
State MN
ZIP 55021
Phone 507 334-0306
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS O'BRYAN MD

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