24D0400118 CLIA NUMBER - ALLINA HEALTH CHASKA CLINIC

Laboratory Demographics

  • CLIA Code: 24D0400118
  • Facility Name: ALLINA HEALTH CHASKA CLINIC
  • Facility Address: 111 HUNDERTMARK ROAD SUITE 220
    CHASKA, MN
    ZIP 55318
  • Facility Phone: 952 448-2050
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. JENA C. MARTIN
  • NPI Number: 1104122555
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0400118
LAB Type Community Clinic
Facility Name ALLINA HEALTH CHASKA CLINIC
Street 111 HUNDERTMARK ROAD SUITE 220
City CHASKA
State MN
ZIP 55318
Phone 952 448-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Community Clinic
Lab Director DR. JENA C. MARTIN

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