24D1058400 CLIA NUMBER - SCOTT COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D1058400
  • Facility Name: SCOTT COUNTY DIALYSIS
  • Facility Address: 7456 SOUTH PARK DRIVE
    SAVAGE, MN
    ZIP 55378
  • Facility Phone: 952 226-4766
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAJIV SHAH
  • NPI Number: 1720097876
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1058400
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SCOTT COUNTY DIALYSIS
Street 7456 SOUTH PARK DRIVE
City SAVAGE
State MN
ZIP 55378
Phone 952 226-4766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAJIV SHAH

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