24D0651415 CLIA NUMBER - TWIN CITIES DERMATOPATHOLOGY/SONIC HEALTHCARE USA

Laboratory Demographics

  • CLIA Code: 24D0651415
  • Facility Name: TWIN CITIES DERMATOPATHOLOGY/SONIC HEALTHCARE USA
  • Facility Address: 9900 13TH AVE NORTH SUITE 2A
    PLYMOUTH, MN
    ZIP 55441
  • Facility Phone: 763 525-0363
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ANDREW J. LARSON
  • NPI Number: 1144223009
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 24D0651415
LAB Type Independent
Facility Name TWIN CITIES DERMATOPATHOLOGY/SONIC HEALTHCARE USA
Street 9900 13TH AVE NORTH SUITE 2A
City PLYMOUTH
State MN
ZIP 55441
Phone 763 525-0363
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 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Independent
Lab Director DR. ANDREW J. LARSON

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