24D0399940 CLIA NUMBER - ALLINA HEALTH SHOREVIEW CLINIC

Laboratory Demographics

CLIA Number: 24D0399940

Facility Name: ALLINA HEALTH SHOREVIEW CLINIC

Facility Address:
4194 N LEXINGTON AVE
SHOREVIEW, MN
ZIP 55126
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Facility Phone Number: 651 415-2330

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1841806767

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	24D0399940
LAB Type	Physician Office
Facility Name	ALLINA HEALTH SHOREVIEW CLINIC
Street	4194 N LEXINGTON AVE
City	SHOREVIEW
State	MN
ZIP	55126
Phone	651 415-2330
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024