24D0858026 CLIA NUMBER - M HEALTH FAIRVIEW CLINIC - EAGAN

Laboratory Demographics

  • CLIA Code: 24D0858026
  • Facility Name: M HEALTH FAIRVIEW CLINIC - EAGAN
  • Facility Address: 3305 CENTRAL PARK VILLAGE DRIVE SUITE 200
    EAGAN, MN
    ZIP 55121
  • Facility Phone: 651 688-7860
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: CARON GOLL
  • NPI Number: 1043402688
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0858026
LAB Type Community Clinic
Facility Name M HEALTH FAIRVIEW CLINIC - EAGAN
Street 3305 CENTRAL PARK VILLAGE DRIVE SUITE 200
City EAGAN
State MN
ZIP 55121
Phone 651 688-7860
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 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Community Clinic
Lab Director CARON GOLL

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