24D0668100 CLIA NUMBER - M HEALTH FAIRVIEW EDEN PRAIRIE CLINIC

Laboratory Demographics

  • CLIA Code: 24D0668100
  • Facility Name: M HEALTH FAIRVIEW EDEN PRAIRIE CLINIC
  • Facility Address: 830 PRAIRIE CENTER DRIVE
    EDEN PRAIRIE, MN
    ZIP 55344
  • Facility Phone: 952 826-6522
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CARRIE MCCARTHY
  • NPI Number: 1710293402
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D0668100
LAB Type Physician Office
Facility Name M HEALTH FAIRVIEW EDEN PRAIRIE CLINIC
Street 830 PRAIRIE CENTER DRIVE
City EDEN PRAIRIE
State MN
ZIP 55344
Phone 952 826-6522
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 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director CARRIE MCCARTHY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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