24D2069808 CLIA NUMBER - CENTRAL AVENUE DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2069808
  • Facility Name: CENTRAL AVENUE DIALYSIS
  • Facility Address: 10994 BALTIMORE ST NE
    BLAINE, MN
    ZIP 55449
  • Facility Phone: (763) 786-5026
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN P. TOLINS

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CLIA Record

Field Name Field Value
CLIA Number 24D2069808
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CENTRAL AVENUE DIALYSIS
Street 10994 BALTIMORE ST NE
City BLAINE
State MN
ZIP 55449
Phone 7637865026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2025
Certificate Expiration Date 12/2/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JONATHAN P. TOLINS

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