24D0400308 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - BURNSVILLE

Laboratory Demographics

  • CLIA Code: 24D0400308
  • Facility Name: M HEALTH FAIRVIEW CLINIC - BURNSVILLE
  • Facility Address: 303 E NICOLLET BLVD, SUITE 120
    BURNSVILLE, MN
    ZIP 55337
  • Facility Phone: 952 885-6072
  • Facility Type: Other - CLINIC OF HLTH CARE SYS
  • Facility Type: Accreditation
  • Lab Director: MS. JENNIFER NICHOLSON
  • NPI Number: 1083806772
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0400308
LAB Type Other - CLINIC OF HLTH CARE SYS
Facility Name M HEALTH FAIRVIEW CLINIC - BURNSVILLE
Street 303 E NICOLLET BLVD, SUITE 120
City BURNSVILLE
State MN
ZIP 55337
Phone 952 885-6072
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 Other - CLINIC OF HLTH CARE SYS
Lab Director MS. JENNIFER NICHOLSON

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