24D0402512 CLIA NUMBER - MORNINGSIDE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 24D0402512
  • Facility Name: MORNINGSIDE FAMILY PHYSICIANS
  • Facility Address: 3920 SUNNYSIDE RD
    EDINA, MN
    ZIP 55424
  • Facility Phone: 612 926-3002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP SIDELL
  • NPI Number: 1992027007
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0402512
LAB Type Physician Office
Facility Name MORNINGSIDE FAMILY PHYSICIANS
Street 3920 SUNNYSIDE RD
City EDINA
State MN
ZIP 55424
Phone 612 926-3002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director PHILIP SIDELL

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