24D0403448 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - BROOKLYN PARK

Laboratory Demographics

  • CLIA Code: 24D0403448
  • Facility Name: M HEALTH FAIRVIEW CLINIC - BROOKLYN PARK
  • Facility Address: 10000 ZANE AVE N
    BROOKLYN PARK, MN
    ZIP 55443
  • Facility Phone: 763 566-8010
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: NANCY JUDY
  • NPI Number: 1679754998
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0403448
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW CLINIC - BROOKLYN PARK
Street 10000 ZANE AVE N
City BROOKLYN PARK
State MN
ZIP 55443
Phone 763 566-8010
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director NANCY JUDY

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