24D1077031 CLIA NUMBER - SUN RAY DIALYSIS UNIT

Laboratory Demographics

  • CLIA Code: 24D1077031
  • Facility Name: SUN RAY DIALYSIS UNIT
  • Facility Address: 1744 OLD HUDSON ROAD
    SAINT PAUL, MN
    ZIP 55106
  • Facility Phone: 651 793-5191
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID H. WARDEN
  • NPI Number: 1598954984
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D1077031
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SUN RAY DIALYSIS UNIT
Street 1744 OLD HUDSON ROAD
City SAINT PAUL
State MN
ZIP 55106
Phone 651 793-5191
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 H. WARDEN

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