24D0399992 CLIA NUMBER - RIVERWAY CLINIC - ANOKA

Laboratory Demographics

  • CLIA Code: 24D0399992
  • Facility Name: RIVERWAY CLINIC - ANOKA
  • Facility Address: 2621 GREENHAVEN ROAD
    ANOKA, MN
    ZIP 55303
  • Facility Phone: 763 587-4241
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROSEN DIMITROV
  • NPI Number: 1407296148
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 24D0399992
LAB Type Physician Office
Facility Name RIVERWAY CLINIC - ANOKA
Street 2621 GREENHAVEN ROAD
City ANOKA
State MN
ZIP 55303
Phone 763 587-4241
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. ROSEN DIMITROV

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