24D0868744 CLIA NUMBER - ALLINA HEALTH ISLES CLINIC

Laboratory Demographics

CLIA Number: 24D0868744

Facility Name: ALLINA HEALTH ISLES CLINIC

Facility Address:
2800 HENNEPIN AVENUE
MINNEAPOLIS, MN
ZIP 55408
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Facility Phone Number: 612 871-1696

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1508162249

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	24D0868744
LAB Type	Physician Office
Facility Name	ALLINA HEALTH ISLES CLINIC
Street	2800 HENNEPIN AVENUE
City	MINNEAPOLIS
State	MN
ZIP	55408
Phone	612 871-1696
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024