24D0398085 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - CHISAGO

Laboratory Demographics

  • CLIA Code: 24D0398085
  • Facility Name: M HEALTH FAIRVIEW CLINIC - CHISAGO
  • Facility Address: 11725 STINSON AVE
    CHISAGO CITY, MN
    ZIP 55013
  • Facility Phone: 612 257-8400
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BECKY ISAACS
  • NPI Number: 1912151101
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0398085
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - CHISAGO
Street 11725 STINSON AVE
City CHISAGO CITY
State MN
ZIP 55013
Phone 612 257-8400
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director BECKY ISAACS

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