24D0868367 CLIA NUMBER - MIDWEST SURGERY CENTER, LLC DBA MIDWEST SURGERY CENTER - WOODBURY

Laboratory Demographics

  • CLIA Code: 24D0868367
  • Facility Name: MIDWEST SURGERY CENTER, LLC DBA MIDWEST SURGERY CENTER - WOODBURY
  • Facility Address: 2080 WOODWINDS DRIVE
    WOODBURY, MN
    ZIP 55125
  • Facility Phone: 651 642-9199
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VANESSA TOSSEY
  • NPI Number: 1629130521
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0868367
LAB Type Ambulatory Surgery Center
Facility Name MIDWEST SURGERY CENTER, LLC DBA MIDWEST SURGERY CENTER - WOODBURY
Street 2080 WOODWINDS DRIVE
City WOODBURY
State MN
ZIP 55125
Phone 651 642-9199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director VANESSA TOSSEY

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