24D0402517 CLIA NUMBER - ALLINA HEALTH BLOOMINGTON CLINIC

Laboratory Demographics

  • CLIA Code: 24D0402517
  • Facility Name: ALLINA HEALTH BLOOMINGTON CLINIC
  • Facility Address: 7920 OLD CEDAR AVE S
    BLOOMINGTON, MN
    ZIP 55425
  • Facility Phone: 952 428-1783
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PARRY H. DILWORTH
  • NPI Number: 1013213891
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0402517
LAB Type Community Clinic
Facility Name ALLINA HEALTH BLOOMINGTON CLINIC
Street 7920 OLD CEDAR AVE S
City BLOOMINGTON
State MN
ZIP 55425
Phone 952 428-1783
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Community Clinic
Lab Director PARRY H. DILWORTH

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