24D0398298 CLIA NUMBER - ALLINA HEALTH CENTENNIAL LAKES CLINIC

Laboratory Demographics

  • CLIA Code: 24D0398298
  • Facility Name: ALLINA HEALTH CENTENNIAL LAKES CLINIC
  • Facility Address: 7373 FRANCE AVE SO, SUITE 202
    EDINA, MN
    ZIP 55435
  • Facility Phone: 952 428-0065
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ERIK JENSON
  • NPI Number: 1871006700
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0398298
LAB Type Physician Office
Facility Name ALLINA HEALTH CENTENNIAL LAKES CLINIC
Street 7373 FRANCE AVE SO, SUITE 202
City EDINA
State MN
ZIP 55435
Phone 952 428-0065
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. ERIK JENSON

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