24D0398631 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - WYOMING

Laboratory Demographics

  • CLIA Code: 24D0398631
  • Facility Name: M HEALTH FAIRVIEW CLINIC - WYOMING
  • Facility Address: 5200 FAIRVIEW BOULEVARD
    WYOMING, MN
    ZIP 55092
  • Facility Phone: 651 982-7224
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: MRS. LISA S. KARNIK
  • NPI Number: 1659525848
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0398631
LAB Type Community Clinic
Facility Name M HEALTH FAIRVIEW CLINIC - WYOMING
Street 5200 FAIRVIEW BOULEVARD
City WYOMING
State MN
ZIP 55092
Phone 651 982-7224
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 Community Clinic
Lab Director MRS. LISA S. KARNIK

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