24D0399238 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - PHALEN VILLAGE

Laboratory Demographics

  • CLIA Code: 24D0399238
  • Facility Name: M HEALTH FAIRVIEW CLINIC - PHALEN VILLAGE
  • Facility Address: 1414 MARYLAND AVE E
    SAINT PAUL, MN
    ZIP 55106
  • Facility Phone: (651) 772-3461
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CAROL JOHANNES

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CLIA Record

Field Name Field Value
CLIA Number 24D0399238
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - PHALEN VILLAGE
Street 1414 MARYLAND AVE E
City SAINT PAUL
State MN
ZIP 55106
Phone 6517723461
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 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director CAROL JOHANNES

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This page was last updated on: 5/18/2026