24D0907487 CLIA NUMBER - MINNETONKA DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 24D0907487
  • Facility Name: MINNETONKA DIALYSIS UNIT
  • Facility Address: 17809 HUTCHINS DRIVE
    MINNETONKA, MN
    ZIP 55345
  • Facility Phone: 612 470-9944
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS SLACK
  • NPI Number: 1295105906
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0907487
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MINNETONKA DIALYSIS UNIT
Street 17809 HUTCHINS DRIVE
City MINNETONKA
State MN
ZIP 55345
Phone 612 470-9944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS SLACK

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