24D0902194 CLIA NUMBER - CASS LAKE DIALYSIS FACILITY

Laboratory Demographics

  • CLIA Code: 24D0902194
  • Facility Name: CASS LAKE DIALYSIS FACILITY
  • Facility Address: 602 3RD STREET NW
    CASS LAKE, MN
    ZIP 56633
  • Facility Phone: 218 335-4095
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JASON BYDASH
  • NPI Number: 1770548422
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0902194
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CASS LAKE DIALYSIS FACILITY
Street 602 3RD STREET NW
City CASS LAKE
State MN
ZIP 56633
Phone 218 335-4095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JASON BYDASH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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