24D2072554 CLIA NUMBER - HISTORICAL HASTINGS DIALYSIS

Home > CLIA Lookup > 24D2072554

Laboratory Demographics

CLIA Number: 24D2072554

Facility Name: HISTORICAL HASTINGS DIALYSIS

Facility Address:
1828 MARKET BLVD
HASTINGS, MN
ZIP 55033
Get Directions

Facility Phone Number: 651 438-2155

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1093136111

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D2072554
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	HISTORICAL HASTINGS DIALYSIS
Street	1828 MARKET BLVD
City	HASTINGS
State	MN
ZIP	55033
Phone	651 438-2155
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024