24D2072554 CLIA NUMBER - HISTORICAL HASTINGS DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2072554
  • Facility Name: HISTORICAL HASTINGS DIALYSIS
  • Facility Address: 1828 MARKET BLVD
    HASTINGS, MN
    ZIP 55033
  • Facility Phone: 651 438-2155
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CARA WALZ
  • NPI Number: 1093136111
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CARA WALZ

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