24D1057909 CLIA NUMBER - COTTAGE GROVE DIALYSIS #2290

Laboratory Demographics

  • CLIA Code: 24D1057909
  • Facility Name: COTTAGE GROVE DIALYSIS #2290
  • Facility Address: 8800 EAST POINT DOUGLAS ROAD SUITE 100
    COTTAGE GROVE, MN
    ZIP 55016
  • Facility Phone: 651 459-5655
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YEKATERINA KUZMENKO
  • NPI Number: 1437168580
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D1057909
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COTTAGE GROVE DIALYSIS #2290
Street 8800 EAST POINT DOUGLAS ROAD SUITE 100
City COTTAGE GROVE
State MN
ZIP 55016
Phone 651 459-5655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YEKATERINA KUZMENKO

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