24D1077030 CLIA NUMBER - HIGHLAND PARK DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D1077030
  • Facility Name: HIGHLAND PARK DIALYSIS
  • Facility Address: 1559 WEST 7TH STREET
    SAINT PAUL, MN
    ZIP 55102
  • Facility Phone: 800 467-4736
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID G. HUSEBYE
  • NPI Number: 1407045891
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1077030
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HIGHLAND PARK DIALYSIS
Street 1559 WEST 7TH STREET
City SAINT PAUL
State MN
ZIP 55102
Phone 800 467-4736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID G. HUSEBYE

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