24D1103593 CLIA NUMBER - ASSOCIATED NEPHROLOGY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 24D1103593
  • Facility Name: ASSOCIATED NEPHROLOGY CONSULTANTS
  • Facility Address: 1997 SLOAN PLACE SUITE 17
    MAPLEWOOD, MN
    ZIP 55117
  • Facility Phone: (651) 772-6251
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID H. WARDEN
  • NPI Number: 1104976158
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D1103593
LAB Type Physician Office
Facility Name ASSOCIATED NEPHROLOGY CONSULTANTS
Street 1997 SLOAN PLACE SUITE 17
City MAPLEWOOD
State MN
ZIP 55117
Phone 6517726251
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director DAVID H. WARDEN

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This page was last updated on: 5/18/2026