24D0402831 CLIA NUMBER - ALLINA HEALTH FRIDLEY CLINIC

Laboratory Demographics

  • CLIA Code: 24D0402831
  • Facility Name: ALLINA HEALTH FRIDLEY CLINIC
  • Facility Address: 500 OSBORNE RD NE, SUITE 150
    FRIDLEY, MN
    ZIP 55432
  • Facility Phone: 763 236-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA NELSON
  • NPI Number: 1295043875
  • Taxonomy: 261QX0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0402831
LAB Type Physician Office
Facility Name ALLINA HEALTH FRIDLEY CLINIC
Street 500 OSBORNE RD NE, SUITE 150
City FRIDLEY
State MN
ZIP 55432
Phone 763 236-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director DANA NELSON

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