24D2047098 CLIA NUMBER - MOORHEAD DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2047098
  • Facility Name: MOORHEAD DIALYSIS
  • Facility Address: 1710 CENTER AVENUE WEST
    DILWORTH, MN
    ZIP 56529
  • Facility Phone: 218 233-3354
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BINAYA KHANAL
  • NPI Number: 1053667493
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2047098
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MOORHEAD DIALYSIS
Street 1710 CENTER AVENUE WEST
City DILWORTH
State MN
ZIP 56529
Phone 218 233-3354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BINAYA KHANAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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