24D0400684 CLIA NUMBER - RIDGEVIEW WESTONKA CLINIC

Laboratory Demographics

  • CLIA Code: 24D0400684
  • Facility Name: RIDGEVIEW WESTONKA CLINIC
  • Facility Address: 4695 SHORELINE DRIVE
    SPRING PARK, MN
    ZIP 55384
  • Facility Phone: 952 442-7890
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: NICHOLE ULRICH
  • NPI Number: 1225249881
  • Taxonomy: 207RP1001X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0400684
LAB Type Community Clinic
Facility Name RIDGEVIEW WESTONKA CLINIC
Street 4695 SHORELINE DRIVE
City SPRING PARK
State MN
ZIP 55384
Phone 952 442-7890
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025