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24D2082111 CLIA NUMBER - WHITE EARTH DIALYSIS

Laboratory Demographics

CLIA Number: 24D2082111

Facility Name: WHITE EARTH DIALYSIS

Facility Address:
26246 CRANE ROAD
WHITE EARTH, MN
ZIP 56591
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Facility Phone Number: 218 983-3286

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1366195133

Taxonomy: 251B00000X - Case Management
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

CLIA Record

Field Name Field Value
CLIA Number 24D2082111
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WHITE EARTH DIALYSIS
Street 26246 CRANE ROAD
City WHITE EARTH
State MN
ZIP 56591
Phone 218 983-3286
CertificateType 4
CertificateEffectiveDate 8/7/2022
CertificateExpirationDate 8/6/2024
FacilityType Waiver

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