52D1089847 CLIA NUMBER - TRI STATE DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D1089847
  • Facility Name: TRI STATE DIALYSIS
  • Facility Address: 5 INSIGHT DRIVE
    PLATTEVILLE, WI
    ZIP 53818
  • Facility Phone: 608 348-5064
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KATE J. KERN
  • NPI Number: 1669426177
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1089847
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRI STATE DIALYSIS
Street 5 INSIGHT DRIVE
City PLATTEVILLE
State WI
ZIP 53818
Phone 608 348-5064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KATE J. KERN

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