24D0928605 CLIA NUMBER - ST PAUL CAPITOL DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D0928605
  • Facility Name: ST PAUL CAPITOL DIALYSIS
  • Facility Address: 555 PARK STREET STE 230
    SAINT PAUL, MN
    ZIP 55103
  • Facility Phone: 651 221-3318
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANN RINEHART MD
  • NPI Number: 1114981586
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0928605
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ST PAUL CAPITOL DIALYSIS
Street 555 PARK STREET STE 230
City SAINT PAUL
State MN
ZIP 55103
Phone 651 221-3318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANN RINEHART MD

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