24D0399102 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - MIDWAY

Laboratory Demographics

  • CLIA Code: 24D0399102
  • Facility Name: M HEALTH FAIRVIEW CLINIC - MIDWAY
  • Facility Address: 1390 UNIVERSITY AVE W
    SAINT PAUL, MN
    ZIP 55104
  • Facility Phone: 612 672-4185
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: ABIGAIL M. SCHNEIDER
  • NPI Number: 1780330779
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0399102
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - MIDWAY
Street 1390 UNIVERSITY AVE W
City SAINT PAUL
State MN
ZIP 55104
Phone 612 672-4185
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 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director ABIGAIL M. SCHNEIDER

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