24D0405034 CLIA NUMBER - PARKVIEW MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 24D0405034
  • Facility Name: PARKVIEW MEDICAL CLINIC
  • Facility Address: 1400 1ST STREET NE
    NEW PRAGUE, MN
    ZIP 56071
  • Facility Phone: 612 758-2535
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MICHAEL O'ROURKE
  • NPI Number: 1922071125
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 24D0405034
LAB Type Physician Office
Facility Name PARKVIEW MEDICAL CLINIC
Street 1400 1ST STREET NE
City NEW PRAGUE
State MN
ZIP 56071
Phone 612 758-2535
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director MICHAEL O'ROURKE

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