24D2018495 CLIA NUMBER - ROBBINSDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2018495
  • Facility Name: ROBBINSDALE DIALYSIS
  • Facility Address: 3461 W BROADWAY AVENUE
    ROBBINSDALE, MN
    ZIP 55422
  • Facility Phone: 763 521-4865
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MILIND JUNGHARE
  • NPI Number: 1205104650
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2018495
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROBBINSDALE DIALYSIS
Street 3461 W BROADWAY AVENUE
City ROBBINSDALE
State MN
ZIP 55422
Phone 763 521-4865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MILIND JUNGHARE

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