24D2127781 CLIA NUMBER - MANKATO UPTOWN DIALYSIS

Laboratory Demographics

  • CLIA Code: 24D2127781
  • Facility Name: MANKATO UPTOWN DIALYSIS
  • Facility Address: 1802 COMMERCE DRIVE
    NORTH MANKATO, MN
    ZIP 56003
  • Facility Phone: 507 387-9095
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMED S. TOUMEH
  • NPI Number: 1225573777
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2127781
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MANKATO UPTOWN DIALYSIS
Street 1802 COMMERCE DRIVE
City NORTH MANKATO
State MN
ZIP 56003
Phone 507 387-9095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMED S. TOUMEH

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