24D2048442 CLIA NUMBER - DIALYSIS AT MANKATO CLINIC

Laboratory Demographics

  • CLIA Code: 24D2048442
  • Facility Name: DIALYSIS AT MANKATO CLINIC
  • Facility Address: 1400 MADISON AVENUE
    MANKATO, MN
    ZIP 56001
  • Facility Phone: 507 385-0432
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KARL P. ROOS
  • NPI Number: 1538414941
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2048442
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS AT MANKATO CLINIC
Street 1400 MADISON AVENUE
City MANKATO
State MN
ZIP 56001
Phone 507 385-0432
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KARL P. ROOS

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