24D0402974 CLIA NUMBER - ALLINA HEALTH MERCY WOMEN'S HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 24D0402974
  • Facility Name: ALLINA HEALTH MERCY WOMEN'S HEALTH CLINIC
  • Facility Address: 3960 COON RAPIDS BLVD NW SUITE 2100
    COON RAPIDS, MN
    ZIP 55433
  • Facility Phone: 763 236-9236
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN V. GRIMM
  • NPI Number: 1811293269
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0402974
LAB Type Physician Office
Facility Name ALLINA HEALTH MERCY WOMEN'S HEALTH CLINIC
Street 3960 COON RAPIDS BLVD NW SUITE 2100
City COON RAPIDS
State MN
ZIP 55433
Phone 763 236-9236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ERIN V. GRIMM

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