52D2026507 CLIA NUMBER - NORTHERN STAR DIALYSIS

Laboratory Demographics

  • CLIA Code: 52D2026507
  • Facility Name: NORTHERN STAR DIALYSIS
  • Facility Address: 311 ELM ST
    WOODRUFF, WI
    ZIP 54568
  • Facility Phone: 715 356-8881
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MS. REBECCA BLONSKY
  • NPI Number: 1770798274
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 52D2026507
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTHERN STAR DIALYSIS
Street 311 ELM ST
City WOODRUFF
State WI
ZIP 54568
Phone 715 356-8881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MS. REBECCA BLONSKY

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