24D0920748 CLIA NUMBER - WYOMING DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D0920748
  • Facility Name: WYOMING DIALYSIS
  • Facility Address: 5657 257TH STREET, SUITE 400
    WYOMING, MN
    ZIP 55092
  • Facility Phone: 651 408-8938
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID BOWLIN
  • NPI Number: 1417911918
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0920748
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WYOMING DIALYSIS
Street 5657 257TH STREET, SUITE 400
City WYOMING
State MN
ZIP 55092
Phone 651 408-8938
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID BOWLIN

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