24D0400102 CLIA NUMBER - RIDGEVIEW CHANHASSEN CLINIC

Laboratory Demographics

  • CLIA Code: 24D0400102
  • Facility Name: RIDGEVIEW CHANHASSEN CLINIC
  • Facility Address: 7907 POWERS BLVD
    CHANHASSEN, MN
    ZIP 55317
  • Facility Phone: 952 906-7812
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: NICHOLE ULRICH
  • NPI Number: 1205988714
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0400102
LAB Type Community Clinic
Facility Name RIDGEVIEW CHANHASSEN CLINIC
Street 7907 POWERS BLVD
City CHANHASSEN
State MN
ZIP 55317
Phone 952 906-7812
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 Community Clinic
Lab Director NICHOLE ULRICH

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