24D2105380 CLIA NUMBER - LARPENTEUR AVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2105380
  • Facility Name: LARPENTEUR AVE DIALYSIS
  • Facility Address: 1739 LEXINGTON AVE NORTH
    ROSEVILLE, MN
    ZIP 55113
  • Facility Phone: 651 489-9260
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE L. JOHNS
  • NPI Number: 1255701041
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2105380
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LARPENTEUR AVE DIALYSIS
Street 1739 LEXINGTON AVE NORTH
City ROSEVILLE
State MN
ZIP 55113
Phone 651 489-9260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRISTINE L. JOHNS

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